Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $7,413.10	Facility		$794.33	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $630.96	Professional		$323.59	$407.38	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,495.41	Facility		$1,659.59	$2,884.03	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $549.54	Professional		$323.59	$416.87	$549.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
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 $354.81 / $467.74 / $741.31	Professional		$354.81	$467.74	$741.31
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 $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $4,365.16	Facility		$354.81	$645.65	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $602.56	Professional		$331.13	$467.74	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $691.83 / $891.25	Professional		$3.02	$691.83	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $794.33	Facility		$331.13	$457.09	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $741.31	Professional		$346.74	$478.63	$741.31
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 $295.12 / $398.11 / $630.96	Professional		$295.12	$398.11	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $338.84	Professional		$323.59	$338.84	$338.84