Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.24 / $426.00 / $643.86	Facility		$219.24	$426.00	$643.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $232.39 / $425.71	Professional		$211.57	$232.39	$425.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $423.36 / $423.36	Professional		$423.36	$423.36	$423.36
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 $238.31 / $238.31 / $298.16	Professional		$238.31	$238.31	$298.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $500.75 / $500.75 / $500.75	Facility		$500.75	$500.75	$500.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $388.80	Professional		$202.97	$202.97	$388.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $836.76 / $2,319.50 / $2,319.50	Facility		$836.76	$2,319.50	$2,319.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.67 / $2,507.67 / $3,646.28	Professional		$2,507.67	$2,507.67	$3,646.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $388.24 / $500.75	Facility		$143.31	$388.24	$500.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $450.68 / $500.75	Professional		$143.31	$450.68	$500.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $174.00	Professional		$174.00	$174.00	$174.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $375.94 / $500.75	Facility		$143.31	$375.94	$500.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $404.24	Professional		$202.97	$278.04	$404.24
United Facility/Professional Facility Modifier Low / Median / High Price $170.55 / $220.01 / $290.45	Facility		$170.55	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $267.51 / $361.14	Professional		$184.99	$267.51	$361.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.93 / $291.27 / $500.75	Professional		$266.93	$291.27	$500.75