Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.21 / $402.96 / $410.71	Facility		$395.21	$402.96	$410.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.47 / $410.71 / $604.27	Professional		$387.47	$410.71	$604.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $884.99 / $884.99 / $884.99	Professional		$884.99	$884.99	$884.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.18 / $421.18 / $526.95	Professional		$421.18	$421.18	$526.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $884.99 / $884.99 / $884.99	Facility		$884.99	$884.99	$884.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,885.12 / $4,303.54 / $5,079.41	Facility		$1,885.12	$4,303.54	$5,079.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,650.92 / $5,786.55 / $7,188.45	Professional		$5,650.92	$5,786.55	$7,188.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $598.40 / $884.99	Facility		$258.31	$598.40	$884.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.31 / $796.49 / $884.99	Professional		$258.31	$796.49	$884.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $663.74 / $884.99 / $2,031.05	Professional		$663.74	$884.99	$2,031.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $591.33 / $884.99	Facility		$258.31	$591.33	$884.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $534.24	Professional		$365.83	$365.83	$534.24
United Facility/Professional Professional Modifier Low / Median / High Price $333.43 / $482.18 / $574.02	Professional		$333.43	$482.18	$574.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.49 / $487.72 / $884.99	Professional		$480.49	$487.72	$884.99