Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.96 / $2,128.00 / $7,513.00	Facility		$366.96	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $279.68 / $422.00	Professional		$240.37	$279.68	$422.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $134.82 / $134.82	Professional		$134.82	$134.82	$134.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $256.76 / $1,027.06	Facility		$142.65	$256.76	$1,027.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $308.56 / $446.19	Professional		$245.04	$308.56	$446.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $215.89 / $215.89	Facility		$80.00	$215.89	$215.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $394.33 / $394.33	Facility		$394.33	$394.33	$394.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $355.46 / $543.39	Professional		$249.86	$355.46	$543.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,205.65	Facility		$55.00	$55.00	$1,205.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.72 / $1,970.27 / $2,184.98	Professional		$1,728.72	$1,970.27	$2,184.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $325.47 / $511.82	Facility		$240.81	$325.47	$511.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $357.76 / $456.14	Professional		$293.87	$357.76	$456.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $306.73 / $497.58	Professional		$263.33	$306.73	$497.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $327.64 / $546.51	Facility		$240.81	$327.64	$546.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.87 / $374.43 / $572.07	Professional		$253.87	$374.43	$572.07
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $312.04 / $494.10	Professional		$224.07	$312.04	$494.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $247.16 / $346.53	Professional		$218.10	$247.16	$346.53