Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.02 / $1,899.00 / $6,691.00	Facility		$254.02	$1,899.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $133.97 / $237.31	Professional		$36.58	$133.97	$237.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $158.76	Professional		$38.02	$38.02	$158.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $136.88 / $281.57	Professional		$38.44	$136.88	$281.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.65 / $183.07	Facility		$33.65	$33.65	$183.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $149.78 / $276.97	Professional		$44.64	$149.78	$276.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $186.00 / $194.42	Facility		$55.00	$186.00	$194.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $652.76 / $1,232.96 / $1,449.83	Professional		$652.76	$1,232.96	$1,449.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $120.23 / $243.70	Facility		$37.40	$120.23	$243.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $208.23 / $372.90	Professional		$50.47	$208.23	$372.90
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $744.60 / $744.60 / $744.60	Professional	50	$744.60	$744.60	$744.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $193.20 / $484.90	Professional		$64.40	$193.20	$484.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $122.63 / $254.62	Facility		$37.61	$122.63	$254.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $153.49 / $350.63	Professional		$46.60	$153.49	$350.63
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $165.83 / $269.13	Professional		$128.52	$165.83	$269.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $158.76 / $226.03	Professional		$142.16	$158.76	$226.03