Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $6,918.31	Facility		$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $251.19	Professional		$22.91	$46.77	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $489.78 / $489.78	Professional	50	$208.93	$489.78	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $363.08	Professional		$19.95	$35.48	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $2,570.40	Facility		$691.83	$1,288.25	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $50.12	Professional		$22.39	$30.90	$50.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $1,621.81 / $1,621.81	Facility		$21.38	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $302.00	Professional		$28.18	$63.10	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $19,498.45 / $19,498.45	Facility		$2,691.53	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $104.71 / $2,089.30	Facility		$24.55	$104.71	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $190.55	Professional		$23.99	$40.74	$190.55
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 $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $354.81	Facility		$25.70	$83.18	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $302.00	Professional		$28.18	$54.95	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $239.88	Professional		$25.12	$79.43	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $35.48	Professional		$33.88	$35.48	$35.48