Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.43 / $749.43 / $809.38	Facility		$749.43	$749.43	$809.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.49 / $809.38 / $1,498.85	Professional		$736.49	$809.38	$1,498.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,215.33 / $1,215.33 / $1,215.33	Professional		$1,215.33	$1,215.33	$1,215.33
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 $1,019.22 / $1,019.22 / $1,019.22	Professional		$1,019.22	$1,019.22	$1,019.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,711.73 / $1,711.73 / $1,711.73	Facility		$1,711.73	$1,711.73	$1,711.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,563.25 / $9,046.66 / $9,046.66	Facility		$7,563.25	$9,046.66	$9,046.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,141.89 / $9,141.89 / $10,834.05	Professional		$9,141.89	$9,141.89	$10,834.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $1,192.91 / $1,711.73	Facility		$465.25	$1,192.91	$1,711.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.50 / $1,540.56 / $1,711.73	Professional		$470.50	$1,540.56	$1,711.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.47 / $1,745.96 / $3,851.39	Professional		$1,309.47	$1,745.96	$3,851.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $1,143.73 / $1,711.73	Facility		$465.25	$1,143.73	$1,711.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $929.71	Professional		$658.92	$658.92	$929.71
United Facility/Professional Professional Modifier Low / Median / High Price $600.54 / $900.83 / $1,110.52	Professional		$600.54	$900.83	$1,110.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.10 / $878.44 / $1,711.73	Professional		$874.10	$878.44	$1,711.73