Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.89 / $596.36 / $607.83	Facility		$584.89	$596.36	$607.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.96 / $607.83 / $986.29	Professional		$561.96	$607.83	$986.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $780.35 / $780.35 / $780.35	Professional		$780.35	$780.35	$780.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.32 / $623.32 / $779.86	Professional		$623.32	$623.32	$779.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,309.74 / $1,309.74 / $1,309.74	Facility		$1,309.74	$1,309.74	$1,309.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $549.07	Professional		$549.07	$549.07	$549.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,344.91 / $7,050.38 / $7,050.38	Facility		$6,344.91	$7,050.38	$7,050.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,124.59 / $7,124.59 / $10,956.45	Professional		$7,124.59	$7,124.59	$10,956.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $912.75 / $1,309.74	Facility		$387.68	$912.75	$1,309.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $1,178.77 / $1,350.05	Professional		$387.68	$1,178.77	$1,350.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.95 / $1,309.74 / $3,005.84	Professional		$1,001.95	$1,309.74	$3,005.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $875.12 / $1,309.74	Facility		$387.68	$875.12	$1,309.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,122.54	Professional		$549.07	$549.07	$1,122.54
United Facility/Professional Professional Modifier Low / Median / High Price $500.43 / $723.68 / $861.52	Professional		$500.43	$723.68	$861.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.14 / $722.95 / $1,309.74	Professional		$721.14	$722.95	$1,309.74