Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,884.03 / $6,918.31	Facility		$645.65	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $354.81	Professional		$123.03	$194.98	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $758.58	Facility		$95.50	$165.96	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $338.84	Professional		$138.04	$213.80	$338.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $218.78	Facility		$128.82	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $371.54	Professional		$147.91	$229.09	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $1,949.84	Professional		$1,584.89	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $3,715.35	Facility		$154.88	$275.42	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $407.38	Professional		$134.90	$218.78	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $389.05 / $602.56	Professional		$3.02	$389.05	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $407.38	Facility		$144.54	$234.42	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $380.19	Professional		$151.36	$234.42	$380.19
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 $131.83 / $194.98 / $316.23	Professional		$131.83	$194.98	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $234.42	Professional		$213.80	$234.42	$234.42