Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $2,124.00 / $7,316.00	Facility		$194.64	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $121.65 / $189.11	Professional		$65.36	$121.65	$189.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $63.27 / $63.27	Professional		$63.27	$63.27	$63.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $160.62 / $656.00	Facility		$94.33	$160.62	$656.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $126.81 / $219.65	Professional		$62.50	$126.81	$219.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $59.67 / $59.67	Facility		$59.67	$59.67	$59.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Facility		$143.47	$143.47	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $143.86 / $240.84	Professional		$73.66	$143.86	$240.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $394.75	Facility		$55.00	$55.00	$394.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $996.80 / $1,169.18	Professional		$610.00	$996.80	$1,169.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $137.01 / $237.99	Facility		$70.28	$137.01	$237.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $148.02 / $242.21	Professional		$87.46	$148.02	$242.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $116.30 / $116.30	Professional		$116.30	$116.30	$116.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $137.50 / $249.49	Facility		$69.52	$137.50	$249.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $148.55 / $257.57	Professional		$75.54	$148.55	$257.57
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $152.71 / $237.81	Professional		$111.30	$152.71	$237.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $128.79 / $182.36	Professional		$114.84	$128.79	$182.36