Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $285.45 / $308.29	Facility		$285.45	$285.45	$308.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.61 / $303.48 / $570.90	Professional		$262.61	$303.48	$570.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $488.99 / $488.99 / $488.99	Professional		$488.99	$488.99	$488.99
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 $310.27 / $388.21 / $388.21	Professional		$310.27	$388.21	$388.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $651.98 / $651.98 / $651.98	Facility		$651.98	$651.98	$651.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $959.16 / $2,506.23 / $2,506.23	Facility		$959.16	$2,506.23	$2,506.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,227.30 / $3,227.30 / $4,079.70	Professional		$3,227.30	$3,227.30	$4,079.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $454.37 / $651.98	Facility		$157.49	$454.37	$651.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $551.35 / $651.98	Professional		$159.27	$551.35	$651.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.76 / $665.02 / $1,466.95	Professional		$498.76	$665.02	$1,466.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $435.64 / $651.98	Facility		$157.49	$435.64	$651.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $325.73	Professional		$223.04	$223.04	$325.73
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $300.74 / $373.31	Professional		$203.29	$300.74	$373.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $296.30 / $651.98	Professional		$295.95	$296.30	$651.98