Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.11 / $815.80 / $831.49	Facility		$800.11	$815.80	$831.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.43 / $831.49 / $1,214.03	Professional		$784.43	$831.49	$1,214.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $895.84 / $1,272.08 / $1,343.75	Professional		$895.84	$1,272.08	$1,343.75
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 $852.67 / $960.14 / $1,066.82	Professional		$852.67	$960.14	$1,066.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,791.67 / $1,791.67 / $1,791.67	Facility		$1,791.67	$1,791.67	$1,791.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,037.25	Professional		$757.19	$757.19	$1,037.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,605.58 / $8,839.16 / $10,513.18	Facility		$3,605.58	$8,839.16	$10,513.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,623.84 / $10,644.35 / $15,885.90	Professional		$10,623.84	$10,644.35	$15,885.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $885.32 / $1,377.40 / $1,791.67	Facility		$885.32	$1,377.40	$1,791.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.80 / $1,522.92 / $1,798.97	Professional		$1,215.80	$1,522.92	$1,798.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.75 / $1,791.67 / $4,111.88	Professional		$1,343.75	$1,791.67	$4,111.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.29 / $1,215.80 / $1,791.67	Facility		$903.29	$1,215.80	$1,791.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,495.81	Professional		$757.19	$757.19	$1,495.81
United Facility/Professional Professional Modifier Low / Median / High Price $690.12 / $996.99 / $1,246.24	Professional		$690.12	$996.99	$1,246.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,124.88 / $1,124.88 / $1,791.67	Professional		$1,124.88	$1,124.88	$1,791.67