Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.75 / $2,512.00 / $7,495.00	Facility		$548.75	$2,512.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $147.38 / $254.71	Professional		$117.80	$147.38	$254.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $86.40 / $171.26	Professional		$66.45	$86.40	$171.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.14 / $3,594.28 / $7,443.64	Facility		$1,976.14	$3,594.28	$7,443.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $156.69 / $219.79	Professional		$126.56	$156.69	$219.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $1,159.63 / $1,159.63	Facility		$124.62	$1,159.63	$1,159.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $159.68 / $159.68	Facility		$159.68	$159.68	$159.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $226.00 / $387.90	Professional		$148.05	$226.00	$387.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $900.97 / $11,500.00 / $16,394.00	Facility		$900.97	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,687.48 / $1,743.17	Professional		$1,263.08	$1,687.48	$1,743.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $256.95 / $360.00	Facility		$135.78	$256.95	$360.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $194.01 / $252.70	Professional		$156.24	$194.01	$252.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $210.31 / $497.02	Professional		$147.62	$210.31	$497.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $259.69 / $367.90	Facility		$135.91	$259.69	$367.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $227.50 / $383.31	Professional		$148.05	$227.50	$383.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $183.23 / $297.56	Professional		$121.55	$183.23	$297.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $132.91 / $183.49	Professional		$115.95	$132.91	$183.49