Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $675.32 / $859.15	Facility		$564.41	$675.32	$859.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.28 / $731.00 / $943.88	Professional		$622.28	$731.00	$943.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $713.01 / $713.01 / $713.01	Professional		$713.01	$713.01	$713.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.45 / $1,335.43 / $2,466.90	Facility		$558.45	$1,335.43	$2,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $296.04 / $348.28	Professional		$47.57	$296.04	$348.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $462.63 / $612.35	Facility		$442.25	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $908.14 / $1,437.89	Professional		$663.10	$908.14	$1,437.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.78 / $3,967.91 / $3,967.91	Facility		$1,587.78	$3,967.91	$3,967.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,680.93 / $4,680.93 / $6,400.13	Professional		$4,680.93	$4,680.93	$6,400.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $801.68 / $1,119.69	Facility		$646.80	$801.68	$1,119.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.01 / $713.01 / $861.30	Professional		$713.01	$713.01	$861.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $940.82 / $1,106.84 / $1,555.90	Professional		$940.82	$1,106.84	$1,555.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.42 / $778.11 / $1,162.76	Facility		$637.42	$778.11	$1,162.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $701.61 / $937.03 / $1,453.74	Professional		$701.61	$937.03	$1,453.74
United Facility/Professional Facility Modifier Low / Median / High Price $879.02 / $928.55 / $928.55	Facility		$879.02	$928.55	$928.55
United Facility/Professional Professional Modifier Low / Median / High Price $607.90 / $834.87 / $1,291.80	Professional		$607.90	$834.87	$1,291.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.41 / $861.30 / $1,162.76	Professional		$780.41	$861.30	$1,162.76