Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,698.24	Facility		$1,071.52	$1,071.52	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,398.83	Professional		$1,047.13	$1,318.26	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,187.76	Professional		$1,258.93	$1,584.89	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,630.27	Professional		$1,230.27	$1,698.24	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $12,022.64	Professional		$9,549.93	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,691.53	Facility		$1,230.27	$1,584.89	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,290.87	Professional		$1,071.52	$1,698.24	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,511.89 / $3,388.44	Professional		$7.08	$2,511.89	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,884.03	Facility		$1,202.26	$1,584.89	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,630.27	Professional		$1,202.26	$1,698.24	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,344.23 / $10,232.93	Facility		$436.52	$2,344.23	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,187.76	Professional		$1,047.13	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Professional		$1,230.27	$1,348.96	$1,348.96