Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $6,918.31	Facility		$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $354.81	Professional		$169.82	$218.78	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $263.03	Professional		$229.09	$245.47	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,762.47	Facility		$2,137.96	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $354.81	Professional		$169.82	$234.42	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $794.33 / $794.33	Facility		$162.18	$794.33	$794.33
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 $194.98 / $263.03 / $436.52	Professional		$194.98	$263.03	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,498.45 / $19,498.45	Facility		$9,549.93	$19,498.45	$19,498.45
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 $186.21 / $309.03 / $3,162.28	Facility		$186.21	$309.03	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $446.68	Professional		$173.78	$251.19	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $380.19 / $660.69	Professional		$3.02	$380.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $478.63	Facility		$177.83	$257.04	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $446.68	Professional		$190.55	$269.15	$446.68
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 $151.36 / $213.80 / $331.13	Professional		$151.36	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47