Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,311.31 / $6,918.31	Facility		$724.44	$3,311.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $660.69	Professional		$239.88	$371.54	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $457.09	Professional		$275.42	$346.74	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $11,481.54	Facility		$2,290.87	$6,456.54	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $588.84	Professional		$275.42	$380.19	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $6,025.60 / $6,025.60	Facility		$234.42	$6,025.60	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $758.58	Professional		$288.40	$467.74	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $28,840.32 / $28,840.32	Facility		$12,589.25	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $3,715.35	Facility		$275.42	$549.54	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $741.31	Professional		$263.03	$398.11	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,023.29	Professional		$588.84	$758.58	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $812.83	Facility		$263.03	$446.68	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $741.31	Professional		$288.40	$467.74	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $18,197.01	Facility		$436.52	$1,819.70	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $630.96	Professional		$263.03	$389.05	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $407.38	Professional		$380.19	$407.38	$407.38