Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,884.03 / $7,413.10	Facility		$707.95	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $354.81	Professional		$125.89	$199.53	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $147.91	Professional		$112.20	$112.20	$147.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	50	$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $1,023.29	Facility		$147.91	$245.47	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $316.23	Professional		$128.82	$204.17	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $478.63 / $478.63	Facility		$123.03	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $407.38	Professional		$144.54	$239.88	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,019.95	Facility		$54.95	$56.23	$3,019.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $3,715.35	Facility		$141.25	$281.84	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $398.11	Professional		$128.82	$208.93	$398.11
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $467.74 / $588.84	Professional		$5.01	$467.74	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $398.11	Facility		$134.90	$229.09	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $407.38	Professional		$144.54	$239.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $323.59	Professional		$120.23	$194.98	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $218.78	Professional		$208.93	$218.78	$218.78