Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $2,496.00 / $7,316.00	Facility		$382.66	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $252.46 / $411.38	Professional		$145.41	$252.46	$411.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $70.52 / $70.52	Professional		$70.52	$70.52	$70.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $702.33 / $1,576.94	Facility		$379.88	$702.33	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $294.99 / $435.91	Professional		$140.78	$294.99	$435.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $135.05 / $135.05	Facility		$135.05	$135.05	$135.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.93 / $391.93 / $391.93	Facility		$391.93	$391.93	$391.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $301.11 / $482.03	Professional		$157.91	$301.11	$482.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.24 / $16,394.00 / $16,394.00	Facility		$1,035.24	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.31 / $2,246.56 / $2,650.65	Professional		$1,175.31	$2,246.56	$2,650.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.49 / $286.05 / $483.08	Facility		$146.49	$286.05	$483.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $334.47 / $532.11	Professional		$190.91	$334.47	$532.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $173.10 / $173.10	Professional		$173.10	$173.10	$173.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $288.39 / $507.55	Facility		$144.80	$288.39	$507.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $314.45 / $532.73	Professional		$160.08	$314.45	$532.73
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $312.22 / $493.05	Professional		$225.74	$312.22	$493.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.51 / $289.58 / $412.44	Professional		$259.51	$289.58	$412.44