Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.62 / $1,124.52 / $3,151.48	Facility		$423.62	$1,124.52	$3,151.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $449.30 / $770.22	Professional		$359.44	$449.30	$770.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $320.93 / $320.93	Professional		$320.93	$320.93	$320.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.94 / $1,816.44 / $3,337.62	Facility		$689.94	$1,816.44	$3,337.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $340.18 / $641.85	Professional		$5.00	$340.18	$641.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $364.70 / $364.70 / $641.85	Facility		$364.70	$364.70	$641.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.20 / $1,506.38 / $2,859.63	Facility		$417.20	$1,506.38	$2,859.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.61 / $370.77 / $1,010.66	Professional		$294.61	$370.77	$1,010.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.96 / $3,048.79 / $3,048.79	Facility		$1,026.96	$3,048.79	$3,048.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,196.41 / $3,196.41 / $4,813.88	Professional		$3,196.41	$3,196.41	$4,813.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.53 / $641.85 / $1,026.96	Facility		$391.53	$641.85	$1,026.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $641.85 / $802.31	Professional		$641.85	$641.85	$802.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $770.22 / $1,444.16	Professional		$417.20	$770.22	$1,444.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.81 / $660.85 / $2,311.96	Facility		$429.81	$660.85	$2,311.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $606.46 / $1,006.07	Professional		$304.92	$606.46	$1,006.07
United Facility/Professional Facility Modifier Low / Median / High Price $269.58 / $641.85 / $770.22	Facility		$269.58	$641.85	$770.22
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $410.78	Professional		$269.58	$269.58	$410.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $641.85 / $866.50	Professional		$250.32	$641.85	$866.50