Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.78 / $428.01 / $436.24	Facility		$419.78	$428.01	$436.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.31 / $436.24 / $707.86	Professional		$403.31	$436.24	$707.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $667.39 / $667.39 / $667.39	Professional		$667.39	$667.39	$667.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.70 / $559.70 / $559.70	Professional		$559.70	$559.70	$559.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $939.99 / $939.99 / $939.99	Facility		$939.99	$939.99	$939.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $511.34	Professional		$373.28	$373.28	$511.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,380.81 / $5,182.72 / $5,182.72	Facility		$4,380.81	$5,182.72	$5,182.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,237.28 / $5,237.28 / $7,143.60	Professional		$5,237.28	$5,237.28	$7,143.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $650.38 / $939.99	Facility		$263.57	$650.38	$939.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.57 / $864.79 / $939.99	Professional		$263.57	$864.79	$939.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $1,033.99 / $2,114.98	Professional		$939.99	$1,033.99	$2,114.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $628.07 / $939.99	Facility		$263.57	$628.07	$939.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $545.12	Professional		$373.28	$373.28	$545.12
United Facility/Professional Facility Modifier Low / Median / High Price $308.26 / $404.62 / $462.96	Facility		$308.26	$404.62	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $491.49 / $585.70	Professional		$340.22	$491.49	$585.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.42 / $490.26 / $939.99	Professional		$488.42	$490.26	$939.99