Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $56.23	Professional		$22.91	$31.62	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $48.98	Professional		$23.44	$28.18	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $74.13 / $154.88	Facility		$28.18	$74.13	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $46.77	Professional		$22.39	$30.20	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $389.05 / $389.05	Facility		$20.89	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $70.79	Professional		$26.92	$40.74	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,995.26	Facility		$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $2,454.71	Facility		$23.99	$41.69	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $60.26	Professional		$22.91	$35.48	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $33.11	Professional		$20.89	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $70.79	Professional		$60.26	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $69.18	Facility		$23.99	$38.90	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $70.79	Professional		$26.30	$40.74	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $53.70	Professional		$21.38	$32.36	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $33.88	Professional		$32.36	$33.88	$33.88