Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,096.48 / $3,019.95	Facility		$389.05	$1,096.48	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $758.58	Professional		$371.54	$478.63	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,905.46 / $3,388.44	Facility		$691.83	$1,905.46	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $323.59 / $467.74	Professional		$5.01	$323.59	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $588.84 / $588.84	Facility		$79.43	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $2,951.21	Facility		$524.81	$1,202.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,202.26	Professional		$331.13	$407.38	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,096.48	Facility		$371.54	$588.84	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $467.74 / $724.44	Professional		$7.94	$467.74	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,621.81	Facility		$371.54	$588.84	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $1,096.48	Professional		$331.13	$446.68	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $588.84	Facility		$208.93	$354.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $588.84	Professional		$245.47	$338.84	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Professional		$229.09	$588.84	$588.84