Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.36 / $226.72 / $231.08	Facility		$222.36	$226.72	$231.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $231.08 / $374.96	Professional		$213.64	$231.08	$374.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $353.52 / $353.52 / $373.44	Professional		$353.52	$353.52	$373.44
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 $236.97 / $236.97 / $296.48	Professional		$236.97	$236.97	$296.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $497.92 / $550.05 / $550.05	Facility		$497.92	$550.05	$550.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $312.81	Professional		$228.35	$228.35	$312.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.99 / $2,306.87 / $2,306.87	Facility		$831.99	$2,306.87	$2,306.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.42 / $2,498.42 / $3,625.58	Professional		$2,498.42	$2,498.42	$3,625.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $373.81 / $497.92	Facility		$142.53	$373.81	$497.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $448.13 / $497.92	Professional		$142.53	$448.13	$497.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $522.82 / $1,120.32	Professional		$161.50	$522.82	$1,120.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $312.81 / $497.92	Facility		$142.53	$312.81	$497.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $342.75	Professional		$228.35	$228.35	$342.75
United Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $266.05 / $316.73	Professional		$183.99	$266.05	$316.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.13 / $268.12 / $497.92	Professional		$265.13	$268.12	$497.92