Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $10,964.78	Facility		$1,000.00	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $691.83	Professional		$323.59	$407.38	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $354.81	Professional		$162.18	$323.59	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $562.34	Professional		$302.00	$354.81	$562.34
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 $4,073.80 / $9,332.54 / $9,332.54	Facility		$4,073.80	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $776.25	Professional		$371.54	$489.78	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $45,708.82 / $45,708.82	Facility		$16,218.10	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,162.28	Professional		$2,818.38	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $7,585.78	Facility		$363.08	$977.24	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $794.33	Professional		$338.84	$446.68	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $724.44 / $954.99	Professional		$6.03	$724.44	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $851.14	Facility		$331.13	$478.63	$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 $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $645.65	Professional		$302.00	$407.38	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $346.74	Professional		$323.59	$346.74	$346.74