Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $3,060.00 / $10,546.00	Facility		$224.62	$3,060.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $200.84 / $344.69	Professional		$140.69	$200.84	$344.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $106.29 / $281.44	Professional		$13.39	$106.29	$281.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,418.26	Facility		$2,436.33	$4,325.17	$8,418.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $210.39 / $299.64	Professional		$151.61	$210.39	$299.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $155.80 / $157.25	Facility		$80.00	$155.80	$157.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $248.26 / $375.53	Professional		$172.56	$248.26	$375.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.18 / $11,500.00 / $26,542.00	Facility		$1,167.18	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.35 / $1,703.33 / $1,992.00	Professional		$1,229.35	$1,703.33	$1,992.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.05 / $227.03 / $354.28	Facility		$163.05	$227.03	$354.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $297.70 / $412.22	Professional		$216.14	$297.70	$412.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.14 / $282.14 / $527.69	Professional		$177.14	$282.14	$527.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $227.62 / $367.49	Facility		$164.25	$227.62	$367.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $256.66 / $419.35	Professional		$178.17	$256.66	$419.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $219.42 / $341.81	Professional		$164.50	$219.42	$341.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $220.34 / $309.57	Professional		$195.45	$220.34	$309.57