Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,467.37 / $6,918.31	Facility		$724.44	$3,467.37	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $812.83	Professional		$338.84	$426.58	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $426.58	Professional		$190.55	$257.04	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $9,120.11	Facility		$2,398.83	$4,786.30	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $575.44	Professional		$338.84	$436.52	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
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 $371.54 / $489.78 / $794.33	Professional		$371.54	$489.78	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $977.24 / $5,248.07	Facility		$251.19	$977.24	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $912.01	Professional		$275.42	$363.08	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $691.83 / $933.25	Professional		$3.02	$691.83	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $851.14	Facility		$218.78	$457.09	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $776.25	Professional		$371.54	$501.19	$776.25
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 $309.03 / $426.58 / $660.69	Professional		$309.03	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $208.93	Professional		$199.53	$208.93	$208.93