Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $6,918.31	Facility		$707.95	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $616.60	Professional		$194.98	$239.88	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $245.47	Professional		$229.09	$234.42	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $5,888.44	Facility		$1,621.81	$2,884.03	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $331.13	Professional		$190.55	$239.88	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,818.38 / $2,818.38	Facility		$181.97	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $436.52	Professional		$213.80	$281.84	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $446.68 / $4,570.88	Facility		$204.17	$446.68	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $524.81	Professional		$204.17	$263.03	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $398.11 / $512.86	Professional		$3.02	$398.11	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $478.63	Facility		$194.98	$281.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $436.52	Professional		$208.93	$281.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $371.54	Professional		$173.78	$239.88	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $194.98	Professional		$181.97	$194.98	$194.98