Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.46 / $2,068.00 / $7,316.00	Facility		$254.46	$2,068.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $235.65 / $365.55	Professional		$149.81	$235.65	$365.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $263.89 / $1,018.00	Facility		$151.60	$263.89	$1,018.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $232.70 / $335.59	Professional		$148.51	$232.70	$335.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $147.18 / $148.30	Facility		$80.00	$147.18	$148.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $273.77	Facility		$273.77	$273.77	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $276.48 / $452.28	Professional		$175.90	$276.48	$452.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $825.17	Facility		$55.00	$55.00	$825.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,818.40 / $2,131.80	Professional		$1,181.35	$1,818.40	$2,131.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $255.04 / $394.15	Facility		$163.55	$255.04	$394.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $296.00 / $441.92	Professional		$206.88	$296.00	$441.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $278.52 / $429.29	Professional		$182.18	$278.52	$429.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.86 / $256.39 / $397.00	Facility		$163.86	$256.39	$397.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $289.08 / $487.62	Professional		$181.22	$289.08	$487.62
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,379.69	Facility		$374.00	$1,529.00	$3,379.69
United Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $267.69 / $412.46	Professional		$196.29	$267.69	$412.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $235.84 / $332.28	Professional		$209.54	$235.84	$332.28