Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.09 / $3,445.00 / $10,234.00	Facility		$192.09	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $203.96 / $342.29	Professional		$130.52	$203.96	$342.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $140.03 / $140.03	Professional		$140.03	$140.03	$140.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $222.35 / $901.17	Facility		$128.11	$222.35	$901.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $200.38 / $300.36	Professional		$129.63	$200.38	$300.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $1,386.39 / $1,386.39	Facility		$139.12	$1,386.39	$1,386.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $243.10	Facility		$243.10	$243.10	$243.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $236.31 / $382.87	Professional		$154.78	$236.31	$382.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $737.53	Facility		$55.00	$55.00	$737.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.64 / $1,672.81 / $1,895.78	Professional		$1,046.64	$1,672.81	$1,895.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $214.20 / $340.55	Facility		$131.55	$214.20	$340.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $264.12 / $391.27	Professional		$184.60	$264.12	$391.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $304.20 / $304.20	Professional		$304.20	$304.20	$304.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $215.18 / $345.12	Facility		$131.59	$215.18	$345.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $250.55 / $416.82	Professional		$155.13	$250.55	$416.82
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $223.89 / $346.16	Professional		$167.82	$223.89	$346.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $208.52 / $293.95	Professional		$185.52	$208.52	$293.95