Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $2,500.00 / $7,542.00	Facility		$173.25	$2,500.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $166.39 / $284.85	Professional		$92.02	$166.39	$284.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $98.79 / $98.79	Professional		$98.79	$98.79	$98.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $269.41 / $1,050.51	Facility		$159.11	$269.41	$1,050.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $156.21 / $256.47	Professional		$88.18	$156.21	$256.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.88 / $87.18	Facility		$80.00	$85.88	$87.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Facility		$165.31	$165.31	$165.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $257.45 / $449.09	Professional		$112.53	$257.45	$449.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $569.39	Facility		$55.00	$55.00	$569.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $1,409.85 / $1,949.92	Professional		$841.00	$1,409.85	$1,949.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $231.02 / $402.14	Facility		$97.80	$231.02	$402.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $189.34 / $296.35	Professional		$121.11	$189.34	$296.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $174.07 / $311.80	Professional		$98.28	$174.07	$311.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.82 / $231.02 / $409.17	Facility		$97.82	$231.02	$409.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $266.05 / $456.18	Professional		$125.13	$266.05	$456.18
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $290.88 / $456.00	Professional		$217.04	$290.88	$456.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $159.09 / $223.26	Professional		$140.52	$159.09	$223.26