Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $53,703.18 / $58,884.37	Facility		$269.15	$53,703.18	$58,884.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $891.25	Professional		$190.55	$239.88	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $407.38 / $25,118.86	Facility		$234.42	$407.38	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $346.74	Professional		$199.53	$251.19	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
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 $223.87 / $288.40 / $446.68	Professional		$223.87	$288.40	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,949.84	Professional		$1,862.09	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $53,703.18	Facility		$194.98	$263.03	$53,703.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $524.81	Professional		$190.55	$281.84	$524.81
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 $275.42 / $457.09 / $537.03	Professional		$275.42	$457.09	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $45,708.82	Facility		$194.98	$281.84	$45,708.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $436.52	Professional		$223.87	$288.40	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $389.05	Professional		$181.97	$251.19	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $218.78	Professional		$190.55	$218.78	$218.78