Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.80 / $2,496.00 / $7,495.00	Facility		$314.80	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $199.80 / $298.49	Professional		$134.87	$199.80	$298.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Professional		$202.40	$202.40	$202.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $228.68 / $892.66	Facility		$125.30	$228.68	$892.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $219.15 / $313.74	Professional		$142.19	$219.15	$313.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.61 / $274.55 / $274.55	Facility		$131.61	$274.55	$274.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $244.47 / $385.05	Professional		$160.99	$244.47	$385.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.30 / $9,102.00 / $11,500.00	Facility		$1,071.30	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.52 / $1,708.48 / $1,991.33	Professional		$1,133.52	$1,708.48	$1,991.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.87 / $219.68 / $334.15	Facility		$145.87	$219.68	$334.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $287.48 / $427.76	Professional		$190.04	$287.48	$427.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $215.96 / $282.14	Professional		$136.94	$215.96	$282.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.87 / $219.68 / $336.80	Facility		$145.87	$219.68	$336.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $257.80 / $423.22	Professional		$164.78	$257.80	$423.22
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $244.69 / $361.98	Professional		$183.52	$244.69	$361.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $221.10 / $309.54	Professional		$196.28	$221.10	$309.54