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 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $512.86	Professional		$204.17	$295.12	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $1,023.29	Facility		$151.36	$245.47	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $426.58	Professional		$194.98	$263.03	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $288.40	Facility		$165.96	$165.96	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Facility		$186.21	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $501.19	Professional		$213.80	$309.03	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,344.23	Professional		$2,041.74	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $3,548.13	Facility		$208.93	$363.08	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $512.86	Professional		$204.17	$295.12	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $478.63	Facility		$208.93	$316.23	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $501.19	Professional		$213.80	$316.23	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,659.59 / $4,168.69	Facility		$407.38	$1,659.59	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $380.19	Professional		$186.21	$257.04	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $288.40	Professional		$275.42	$288.40	$288.40