Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.01 / $383.39 / $390.76	Facility		$376.01	$383.39	$390.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $390.76 / $734.78	Professional		$363.48	$390.76	$734.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $597.80 / $597.80 / $597.80	Professional		$597.80	$597.80	$597.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.71 / $501.35 / $501.35	Professional		$400.71	$501.35	$501.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $663.55 / $663.55 / $841.99	Facility		$663.55	$663.55	$841.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $524.34	Professional		$382.77	$382.77	$524.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,881.02 / $4,501.32 / $5,314.54	Facility		$1,881.02	$4,501.32	$5,314.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,538.31 / $5,538.31 / $8,391.37	Professional		$5,538.31	$5,538.31	$8,391.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $586.79 / $841.99	Facility		$270.27	$586.79	$841.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $765.10 / $1,118.84	Professional		$270.27	$765.10	$1,118.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.12 / $841.99 / $1,932.37	Professional		$644.12	$841.99	$1,932.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $562.61 / $841.99	Facility		$270.27	$562.61	$841.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $558.97	Professional		$382.77	$382.77	$558.97
United Facility/Professional Professional Modifier Low / Median / High Price $348.87 / $504.49 / $635.16	Professional		$348.87	$504.49	$635.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $505.33 / $841.99	Professional		$502.72	$505.33	$841.99