Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.75 / $1,033.58 / $2,732.78	Facility		$340.75	$1,033.58	$2,732.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $456.57 / $558.04	Professional		$362.38	$456.57	$558.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.25 / $449.09 / $740.95	Professional		$311.25	$449.09	$740.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $696.02 / $1,285.75	Facility		$296.08	$696.02	$1,285.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $279.87 / $329.26	Professional		$71.50	$279.87	$329.26
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 $230.50 / $268.01 / $359.38	Facility		$230.50	$268.01	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.43 / $571.95 / $877.66	Professional		$414.43	$571.95	$877.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.06 / $2,499.55 / $2,499.55	Facility		$1,000.06	$2,499.55	$2,499.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,826.03 / $2,826.03 / $4,030.95	Professional		$2,826.03	$2,826.03	$4,030.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.25 / $484.86 / $673.70	Facility		$396.25	$484.86	$673.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.09 / $483.49 / $518.23	Professional		$449.09	$483.49	$518.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.65 / $571.35 / $803.14	Professional		$485.65	$571.35	$803.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.60 / $475.65 / $699.61	Facility		$391.60	$475.65	$699.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.67 / $591.01 / $872.55	Professional		$426.67	$591.01	$872.55
United Facility/Professional Professional Modifier Low / Median / High Price $358.62 / $493.11 / $775.30	Professional		$358.62	$493.11	$775.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $518.23 / $595.55 / $699.61	Professional		$518.23	$595.55	$699.61