Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.93 / $467.93 / $476.93	Facility		$458.93	$467.93	$476.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.93 / $485.92 / $912.49	Professional		$449.93	$485.92	$912.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $822.14 / $822.14	Professional		$612.29	$822.14	$822.14
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 $489.08 / $489.08 / $611.90	Professional		$489.08	$489.08	$611.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,027.67 / $1,027.67 / $1,027.67	Facility		$1,027.67	$1,027.67	$1,027.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $700.00	Professional		$511.00	$511.00	$700.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.83 / $5,530.59 / $6,508.59	Facility		$2,291.83	$5,530.59	$6,508.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,973.74 / $7,141.10 / $10,276.73	Professional		$6,973.74	$7,141.10	$10,276.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $711.04 / $1,027.67	Facility		$330.98	$711.04	$1,027.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.98 / $936.89 / $1,042.08	Professional		$330.98	$936.89	$1,042.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.82 / $1,205.45 / $1,682.42	Professional		$1,181.82	$1,205.45	$1,682.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $700.00 / $1,027.67	Facility		$330.98	$700.00	$1,027.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $773.33	Professional		$511.00	$511.00	$773.33
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.25 / $609.85 / $735.52	Professional		$427.25	$609.85	$735.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $615.67 / $1,027.67	Professional		$613.00	$615.67	$1,027.67