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 / $7,413.10	Facility		$794.33	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $467.74	Professional		$239.88	$295.12	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Professional		$120.23	$120.23	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $5,888.44	Facility		$1,548.82	$2,884.03	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $281.84	Professional		$245.47	$251.19	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
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 $269.15 / $354.81 / $562.34	Professional		$269.15	$354.81	$562.34
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $457.09 / $4,168.69	Facility		$177.83	$457.09	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $426.58	Professional		$141.25	$269.15	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $524.81 / $660.69	Professional		$5.01	$524.81	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $616.60	Facility		$123.03	$331.13	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $549.54	Professional		$269.15	$354.81	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $467.74	Professional		$223.87	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $234.42	Professional		$223.87	$234.42	$234.42