Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $6,918.31	Facility		$537.03	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $812.83	Professional		$309.03	$380.19	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $331.13	Professional		$177.83	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $5,248.07	Facility		$1,584.89	$2,754.23	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $575.44	Professional		$331.13	$407.38	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $363.08 / $371.54	Facility		$79.43	$363.08	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $758.58	Professional		$354.81	$489.78	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $19,498.45 / $19,498.45	Facility		$5,248.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	62	$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $3,311.31	Facility		$346.74	$512.86	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $794.33	Professional		$316.23	$489.78	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $1,412.54	Professional		$398.11	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $812.83	Facility		$338.84	$446.68	$812.83
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	62	$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	AS	$63.10	$63.10	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $758.58	Professional		$338.84	$489.78	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $575.44	Professional		$281.84	$371.54	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Professional		$363.08	$389.05	$389.05