Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.19 / $251.01 / $255.84	Facility		$246.19	$251.01	$255.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $255.84 / $436.62	Professional		$231.71	$255.84	$436.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.46 / $391.41 / $441.02	Professional		$328.46	$391.41	$441.02
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 $262.36 / $262.36 / $328.25	Professional		$262.36	$262.36	$328.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $551.28 / $551.28 / $551.28	Facility		$551.28	$551.28	$551.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $333.06	Professional		$245.30	$245.30	$333.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $2,563.00 / $2,563.00	Facility		$921.30	$2,563.00	$2,563.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.81 / $2,760.81 / $4,014.00	Professional		$2,760.81	$2,760.81	$4,014.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $384.20 / $551.28	Facility		$157.77	$384.20	$551.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $468.59 / $551.28	Professional		$157.77	$468.59	$551.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $562.30 / $1,265.20	Professional		$250.00	$562.30	$1,265.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $368.36 / $551.28	Facility		$157.77	$368.36	$551.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $445.02	Professional		$245.30	$245.30	$445.02
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $294.51 / $350.61	Professional		$203.66	$294.51	$350.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.48 / $295.10 / $551.28	Professional		$293.48	$295.10	$551.28