Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,079.46	Facility		$707.95	$2,951.21	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,000.00	Professional		$426.58	$616.60	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $6,025.60	Facility		$1,737.80	$3,090.30	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $891.25	Professional		$407.38	$562.34	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $616.60	Facility		$363.08	$363.08	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $954.99	Professional		$446.68	$645.65	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,128.61	Professional		$4,897.79	$4,897.79	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $3,801.89	Facility		$426.58	$724.44	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,096.48	Professional		$436.52	$630.96	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $338.84 / $575.44	Professional		$32.36	$338.84	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $707.95	Professional		$389.05	$575.44	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,047.13	Facility		$416.87	$645.65	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $954.99	Professional		$446.68	$645.65	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $794.33	Professional		$380.19	$537.03	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60