Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.28 / $472.10 / $2,167.10	Facility		$454.28	$472.10	$2,167.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $472.10 / $833.79	Professional		$427.56	$472.10	$833.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $722.25 / $813.81	Professional		$624.28	$722.25	$813.81
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 $484.13 / $484.13 / $605.71	Professional		$484.13	$484.13	$605.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,017.26 / $1,017.26 / $1,017.26	Facility		$1,017.26	$1,017.26	$1,017.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $518.38	Professional		$518.38	$518.38	$518.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.91 / $4,711.96 / $4,711.96	Facility		$1,699.91	$4,711.96	$4,711.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,094.49 / $5,094.49 / $7,407.15	Professional		$5,094.49	$5,094.49	$7,407.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $708.94 / $1,017.26	Facility		$291.14	$708.94	$1,017.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $898.16 / $1,017.26	Professional		$291.14	$898.16	$1,017.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.40 / $1,017.26 / $2,334.62	Professional		$353.40	$1,017.26	$2,334.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $708.94 / $1,017.26	Facility		$291.14	$708.94	$1,017.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $821.19	Professional		$518.38	$518.38	$821.19
United Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $543.46 / $646.97	Professional		$375.81	$543.46	$646.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $541.55 / $544.83 / $1,017.26	Professional		$541.55	$544.83	$1,017.26