Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $2,124.00 / $7,408.00	Facility		$382.00	$2,124.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $243.95 / $417.02	Professional		$208.78	$243.95	$417.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $217.88 / $434.45	Professional		$112.91	$217.88	$434.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $167.93 / $666.84	Facility		$95.82	$167.93	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $268.04 / $388.10	Professional		$211.77	$268.04	$388.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $218.48 / $218.73	Facility		$80.00	$218.48	$218.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $322.87 / $490.14	Professional		$239.61	$322.87	$490.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,210.10	Facility		$55.00	$55.00	$1,210.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.28 / $1,991.10 / $2,265.53	Professional		$1,721.28	$1,991.10	$2,265.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.47 / $305.98 / $479.60	Facility		$229.47	$305.98	$479.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.24 / $367.26 / $468.26	Professional		$300.24	$367.26	$468.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $451.93 / $901.89	Professional		$266.20	$451.93	$901.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.25 / $307.67 / $490.00	Facility		$230.25	$307.67	$490.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.56 / $340.79 / $523.91	Professional		$243.56	$340.79	$523.91
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,405.00	Facility		$161.00	$949.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $274.20 / $429.03	Professional		$206.13	$274.20	$429.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $253.12 / $355.00	Professional		$223.89	$253.12	$355.00