Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.41 / $2,496.00 / $7,495.00	Facility		$343.41	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $297.70 / $453.67	Professional		$186.16	$297.70	$453.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $161.75 / $161.75	Professional		$161.75	$161.75	$161.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.62 / $789.43 / $1,689.87	Facility		$397.62	$789.43	$1,689.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $337.12 / $504.79	Professional		$195.45	$337.12	$504.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $186.54 / $374.81	Facility		$186.54	$186.54	$374.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $359.70 / $565.15	Professional		$226.50	$359.70	$565.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,475.04 / $16,394.00 / $16,394.00	Facility		$1,475.04	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.56 / $2,741.92 / $3,217.73	Professional		$1,558.56	$2,741.92	$3,217.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.49 / $314.69 / $501.76	Facility		$201.49	$314.69	$501.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.41 / $419.86 / $688.89	Professional		$262.41	$419.86	$688.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $351.64 / $445.62	Professional		$194.89	$351.64	$445.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.49 / $314.69 / $502.97	Facility		$201.49	$314.69	$502.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.68 / $381.56 / $641.53	Professional		$229.68	$381.56	$641.53
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $374.90 / $541.69	Professional		$279.68	$374.90	$541.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $355.50 / $497.70	Professional		$316.10	$355.50	$497.70