Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $426.58	Professional		$79.43	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,570.40	Facility		$724.44	$1,258.93	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $257.04 / $416.87	Professional		$77.62	$257.04	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $309.03	Facility		$79.43	$81.28	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $1,023.29	Facility		$144.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $457.09	Professional		$89.13	$208.93	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,398.83	Professional		$1,995.26	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $263.03 / $645.65	Facility		$85.11	$263.03	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $467.74	Professional		$79.43	$213.80	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $501.19 / $831.76	Professional		$154.88	$501.19	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $478.63	Facility		$85.11	$223.87	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $501.19	Professional		$89.13	$213.80	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $346.74	Professional		$74.13	$181.97	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $309.03 / $346.74	Professional		$66.07	$309.03	$346.74