Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $53,703.18 / $58,884.37	Facility		$5,370.32	$53,703.18	$58,884.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,344.23	Professional		$870.96	$1,071.52	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $25,118.86	Facility		$1,071.52	$1,819.70	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,621.81	Professional		$954.99	$1,202.26	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38,018.94 / $45,708.82 / $57,543.99	Facility		$38,018.94	$45,708.82	$57,543.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,041.74	Professional		$977.24	$1,318.26	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AS	$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $9,120.11 / $9,120.11	Professional		$7,079.46	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $53,703.18	Facility		$933.25	$1,288.25	$53,703.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,041.74	Professional		$891.25	$1,380.38	$2,041.74
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 $7.08 / $1,949.84 / $2,570.40	Professional		$7.08	$1,949.84	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $45,708.82	Facility		$933.25	$1,288.25	$45,708.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,041.74	Professional		$977.24	$1,318.26	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,782.79	Facility		$2,630.27	$8,128.31	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,737.80	Professional		$794.33	$1,071.52	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,096.48	Professional		$977.24	$1,096.48	$1,096.48