Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $169.82	Professional		$39.81	$79.43	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $81.28 / $354.81	Facility		$44.67	$81.28	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $117.49	Professional		$40.74	$70.79	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $79.43	Facility		$38.02	$38.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $229.09	Professional		$51.29	$107.15	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $114.82 / $1,995.26	Facility		$43.65	$114.82	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $138.04	Professional		$41.69	$75.86	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $275.42	Professional		$138.04	$186.21	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $223.87	Facility		$45.71	$107.15	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $229.09	Professional		$51.29	$102.33	$229.09
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 $45.71 / $89.13 / $177.83	Professional		$45.71	$89.13	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Professional		$72.44	$75.86	$75.86