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 $89.13 / $131.83 / $229.09	Professional		$89.13	$131.83	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $138.04	Professional		$83.18	$112.20	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $6,165.95	Facility		$1,584.89	$3,235.94	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $177.83	Professional		$81.28	$112.20	$177.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $123.03	Facility		$70.79	$70.79	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $245.47	Professional		$95.50	$138.04	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $19,498.45 / $19,498.45	Facility		$6,918.31	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $3,548.13	Facility		$89.13	$169.82	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $223.87	Professional		$89.13	$128.82	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $234.42	Facility		$89.13	$144.54	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $234.42	Professional		$93.33	$141.25	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Professional		$117.49	$123.03	$123.03