Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $305.52 / $311.39	Facility		$299.64	$305.52	$311.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $311.39 / $505.29	Professional		$282.02	$311.39	$505.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $339.11 / $339.11	Professional		$339.11	$339.11	$339.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $319.33 / $399.53	Professional		$319.33	$319.33	$399.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $671.01 / $671.01 / $671.01	Facility		$671.01	$671.01	$671.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $403.95	Professional		$276.61	$276.61	$403.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,509.55 / $3,116.55 / $3,684.62	Facility		$1,509.55	$3,116.55	$3,684.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,135.50 / $4,234.77 / $4,419.83	Professional		$4,135.50	$4,234.77	$4,419.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $464.25 / $671.01	Facility		$187.38	$464.25	$671.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $617.33 / $744.92	Professional		$187.38	$617.33	$744.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $671.01 / $718.65 / $1,539.97	Professional		$671.01	$718.65	$1,539.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $448.32 / $671.01	Facility		$187.38	$448.32	$671.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $613.97	Professional		$276.61	$276.61	$613.97
United Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $349.76 / $416.39	Professional		$241.87	$349.76	$416.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.54 / $352.59 / $671.01	Professional		$348.54	$352.59	$671.01