Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $707.95	Professional		$363.08	$436.52	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $6,309.57	Facility		$1,778.28	$3,162.28	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $616.60	Professional		$363.08	$457.09	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $851.14	Professional		$398.11	$524.81	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,897.79	Professional		$3,311.31	$3,311.31	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $4,365.16	Facility		$389.05	$741.31	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $660.69	Professional		$380.19	$501.19	$660.69
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 / $776.25 / $977.24	Professional		$3.02	$776.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $912.01	Facility		$363.08	$524.81	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $831.76	Professional		$389.05	$524.81	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $691.83	Professional		$323.59	$446.68	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $371.54	Professional		$354.81	$371.54	$371.54