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 $144.54 / $213.80 / $380.19	Professional		$144.54	$213.80	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $281.84 / $1,071.52	Professional	50	$58.88	$281.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $912.01	Facility		$125.89	$208.93	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $316.23	Professional		$131.83	$204.17	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Facility		$123.03	$123.03	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Facility		$181.97	$181.97	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $363.08	Professional		$147.91	$218.78	$363.08
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 $1,778.28 / $1,778.28 / $1,905.46	Professional		$1,778.28	$1,778.28	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $263.03 / $3,467.37	Facility		$141.25	$263.03	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $407.38	Professional		$144.54	$223.87	$407.38
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $251.19 / $1,122.02	Professional	50	$58.88	$251.19	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $354.81	Facility		$134.90	$223.87	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $363.08	Professional		$147.91	$223.87	$363.08
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 $125.89 / $181.97 / $275.42	Professional		$125.89	$181.97	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $218.78	Professional		$208.93	$218.78	$218.78