Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.53 / $514.96 / $1,201.84	Facility		$495.53	$514.96	$1,201.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.81 / $514.96 / $727.00	Professional		$468.81	$514.96	$727.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $554.82 / $554.82 / $887.70	Professional		$554.82	$554.82	$887.70
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 $660.71 / $660.71 / $660.71	Professional		$660.71	$660.71	$660.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,109.63 / $1,109.63 / $1,109.63	Facility		$1,109.63	$1,109.63	$1,109.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $616.27	Professional		$449.88	$449.88	$616.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.27 / $5,140.93 / $5,140.93	Facility		$1,854.27	$5,140.93	$5,140.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,568.19 / $5,568.19 / $8,079.60	Professional		$5,568.19	$5,568.19	$8,079.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.96 / $943.19 / $1,109.63	Facility		$514.96	$943.19	$1,109.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $679.09 / $1,020.86 / $1,109.63	Professional		$679.09	$1,020.86	$1,109.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.64 / $1,131.82 / $2,496.67	Professional		$1,018.64	$1,131.82	$2,496.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $722.35 / $1,109.63	Facility		$546.29	$722.35	$1,109.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $895.74	Professional		$449.88	$449.88	$895.74
United Facility/Professional Professional Modifier Low / Median / High Price $410.02 / $624.28 / $783.48	Professional		$410.02	$624.28	$783.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $659.29 / $1,109.63	Professional		$595.44	$659.29	$1,109.63