Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $14,125.38	Facility		$1,122.02	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,621.81	Professional		$891.25	$1,047.13	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $14,791.08	Facility		$4,265.80	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,230.27	Professional		$776.25	$954.99	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,187.76	Professional		$977.24	$1,318.26	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $6,456.54	Facility		$933.25	$1,548.82	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,584.89	Professional		$912.01	$1,202.26	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,041.74 / $2,570.40	Professional		$5.01	$2,041.74	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,290.87	Facility		$912.01	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,137.96	Professional		$933.25	$1,318.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,737.80	Professional		$812.83	$1,122.02	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $891.25	Professional		$851.14	$891.25	$891.25