Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.02 / $2,124.00 / $7,513.00	Facility		$256.02	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $177.81 / $264.51	Professional		$119.86	$177.81	$264.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.25 / $199.25 / $199.25	Professional		$199.25	$199.25	$199.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $195.42 / $797.31	Facility		$114.05	$195.42	$797.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $192.99 / $276.14	Professional		$124.97	$192.99	$276.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $112.15 / $197.84	Facility		$112.15	$112.15	$197.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $215.06 / $324.33	Professional		$142.03	$215.06	$324.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $946.38	Facility		$55.00	$55.00	$946.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.40 / $1,519.36 / $1,752.75	Professional		$1,006.40	$1,519.36	$1,752.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.08 / $194.85 / $292.88	Facility		$129.08	$194.85	$292.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $249.07 / $366.23	Professional		$167.39	$249.07	$366.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $195.93 / $243.94	Professional		$117.35	$195.93	$243.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.08 / $194.85 / $292.95	Facility		$129.08	$194.85	$292.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $225.00 / $368.17	Professional		$149.44	$225.00	$368.17
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 $160.24 / $213.65 / $318.08	Professional		$160.24	$213.65	$318.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $195.93 / $274.30	Professional		$173.65	$195.93	$274.30