Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.70 / $2,124.00 / $7,513.00	Facility		$101.70	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $65.03 / $93.54	Professional		$43.93	$65.03	$93.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Professional		$75.48	$75.48	$75.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $106.50 / $4,063.00	Facility		$35.22	$106.50	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $72.64 / $103.44	Professional		$46.10	$72.64	$103.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $80.00	Facility		$39.57	$39.57	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $82.00 / $126.56	Professional		$51.48	$82.00	$126.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $245.01	Facility		$55.00	$55.00	$245.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $1,070.26 / $1,070.26	Professional		$361.60	$1,070.26	$1,070.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $72.95 / $111.95	Facility		$46.97	$72.95	$111.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $95.74 / $140.90	Professional		$59.84	$95.74	$140.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $73.53 / $94.02	Professional		$40.40	$73.53	$94.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $73.64 / $114.15	Facility		$46.97	$73.64	$114.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $84.99 / $141.04	Professional		$54.27	$84.99	$141.04
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $81.45 / $121.86	Professional		$61.09	$81.45	$121.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $75.48 / $105.69	Professional		$66.81	$75.48	$105.69