Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.39 / $924.82 / $2,591.84	Facility		$348.39	$924.82	$2,591.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.61 / $369.51 / $633.44	Professional		$295.61	$369.51	$633.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $316.72 / $316.72	Professional		$316.72	$316.72	$316.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $1,720.86 / $2,982.47	Facility		$628.16	$1,720.86	$2,982.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $246.78 / $422.30	Professional		$4.67	$246.78	$422.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $527.87 / $527.87	Facility		$80.00	$527.87	$527.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $953.87 / $2,248.19	Facility		$229.37	$953.87	$2,248.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.49 / $501.56 / $830.87	Professional		$267.49	$501.56	$830.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.28 / $2,507.38 / $2,507.38	Facility		$1,293.28	$2,507.38	$2,507.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,639.35 / $2,639.35 / $3,959.03	Professional		$2,639.35	$2,639.35	$3,959.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.56 / $527.87 / $791.81	Facility		$332.56	$527.87	$791.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.48 / $527.87 / $659.84	Professional		$501.48	$527.87	$659.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $633.44 / $1,187.71	Professional		$343.12	$633.44	$1,187.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $573.69 / $1,723.87	Facility		$310.39	$573.69	$1,723.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $607.04 / $830.87	Professional		$269.27	$607.04	$830.87
United Facility/Professional Facility Modifier Low / Median / High Price $319.35 / $319.35 / $527.87	Facility		$319.35	$319.35	$527.87
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $337.84	Professional		$221.71	$221.71	$337.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.87 / $527.87 / $712.62	Professional		$205.87	$527.87	$712.62