Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $7,513.00	Facility		$425.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $372.07 / $622.76	Professional		$238.05	$372.07	$622.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $289.05 / $350.41	Professional		$289.05	$289.05	$350.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,217.52 / $4,215.67 / $8,279.29	Facility		$2,217.52	$4,215.67	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.81 / $380.56 / $546.00	Professional		$243.81	$380.56	$546.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $245.27 / $245.47	Facility		$80.00	$245.27	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $452.86 / $452.86	Facility		$452.86	$452.86	$452.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $434.72 / $706.60	Professional		$283.74	$434.72	$706.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $11,500.00 / $12,000.00	Facility		$1,260.32	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,971.92 / $2,983.52 / $3,452.85	Professional		$1,971.92	$2,983.52	$3,452.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $403.95 / $632.96	Facility		$270.23	$403.95	$632.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.30 / $489.14 / $720.23	Professional		$335.30	$489.14	$720.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $434.77 / $482.14	Professional		$274.02	$434.77	$482.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $405.69 / $638.85	Facility		$270.23	$405.69	$638.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $460.65 / $792.29	Professional		$290.20	$460.65	$792.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,100.00 / $8,226.00	Facility		$1,391.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.19 / $434.88 / $680.20	Professional		$323.19	$434.88	$680.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $384.71 / $542.40	Professional		$341.50	$384.71	$542.40