Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.52 / $613.67 / $1,409.20	Facility		$590.52	$613.67	$1,409.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.37 / $613.67 / $972.03	Professional		$567.37	$613.67	$972.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $938.86 / $938.86 / $1,322.34	Professional		$938.86	$938.86	$1,322.34
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 $629.32 / $629.32 / $787.37	Professional		$629.32	$629.32	$787.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,322.34 / $1,322.34 / $1,322.34	Facility		$1,322.34	$1,322.34	$1,322.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $840.60	Professional		$613.64	$613.64	$840.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,861.75 / $6,648.31 / $7,970.79	Facility		$2,861.75	$6,648.31	$7,970.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,054.69 / $8,087.45 / $11,389.50	Professional		$8,054.69	$8,087.45	$11,389.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $908.17 / $1,322.34	Facility		$405.35	$908.17	$1,322.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.35 / $1,190.10 / $1,440.38	Professional		$405.35	$1,190.10	$1,440.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.91 / $1,388.46 / $2,314.09	Professional		$1,213.91	$1,388.46	$2,314.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $870.73 / $1,322.34	Facility		$405.35	$870.73	$1,322.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $896.12	Professional		$613.64	$613.64	$896.12
United Facility/Professional Professional Modifier Low / Median / High Price $523.23 / $756.65 / $900.77	Professional		$523.23	$756.65	$900.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $828.15 / $1,322.34	Professional		$754.00	$828.15	$1,322.34