Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.48 / $3,102.00 / $10,639.00	Facility		$278.48	$3,102.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $165.09 / $239.45	Professional		$119.34	$165.09	$239.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $129.43 / $129.43	Professional		$129.43	$129.43	$129.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $826.00 / $6,491.00	Facility		$226.53	$826.00	$6,491.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $172.53 / $261.70	Professional		$124.66	$172.53	$261.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $111.72 / $184.12	Facility		$111.72	$111.72	$184.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.28 / $206.84 / $310.47	Professional		$146.28	$206.84	$310.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $667.14 / $26,542.00 / $26,542.00	Facility		$667.14	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.00 / $1,331.60 / $1,559.63	Professional		$1,023.00	$1,331.60	$1,559.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $176.47 / $269.73	Facility		$128.22	$176.47	$269.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $244.89 / $334.52	Professional		$165.78	$244.89	$334.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $174.05 / $222.65	Professional		$113.74	$174.05	$222.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $176.47 / $274.24	Facility		$128.22	$176.47	$274.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $215.60 / $340.83	Professional		$154.30	$215.60	$340.83
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 $148.66 / $196.69 / $295.92	Professional		$148.66	$196.69	$295.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $174.05 / $242.76	Professional		$153.50	$174.05	$242.76