Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.15 / $392.86 / $5,040.70	Facility		$386.15	$392.86	$5,040.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.74 / $393.35 / $524.77	Professional		$322.74	$393.35	$524.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $392.14 / $409.00	Professional		$225.00	$392.14	$409.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $137.00 / $137.00	Professional		$116.45	$137.00	$137.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $240.00 / $468.71	Facility		$165.00	$240.00	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.29 / $480.85 / $781.75	Professional		$366.29	$480.85	$781.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.14 / $1,907.43 / $2,182.01	Facility		$873.14	$1,907.43	$2,182.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,676.50 / $2,676.50 / $3,520.35	Professional		$2,676.50	$2,676.50	$3,520.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $481.01 / $745.84	Facility		$363.76	$481.01	$745.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $889.80 / $889.80 / $889.80	Professional		$889.80	$889.80	$889.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.11 / $393.64 / $475.00	Professional		$285.11	$393.64	$475.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.93 / $481.01 / $749.79	Facility		$352.93	$481.01	$749.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.46 / $479.48 / $764.24	Professional		$367.46	$479.48	$764.24
United Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $393.34 / $617.67	Professional		$298.33	$393.34	$617.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $500.00 / $700.00	Professional		$480.00	$500.00	$700.00