Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.10 / $2,107.00 / $7,497.00	Facility		$204.10	$2,107.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $145.85 / $196.61	Professional		$102.56	$145.85	$196.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $119.73 / $119.73	Professional		$119.73	$119.73	$119.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.02 / $1,002.51 / $2,194.17	Facility		$517.02	$1,002.51	$2,194.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $140.16 / $217.21	Professional		$94.68	$140.16	$217.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $520.36 / $520.36	Facility		$90.41	$520.36	$520.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $180.02 / $281.62	Professional		$116.60	$180.02	$281.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $812.35	Facility		$55.00	$55.00	$812.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $1,126.71 / $1,290.45	Professional		$739.20	$1,126.71	$1,290.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $170.25 / $343.06	Facility		$113.39	$170.25	$343.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $193.86 / $260.95	Professional		$129.09	$193.86	$260.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $256.80 / $256.80	Professional		$256.80	$256.80	$256.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $172.69 / $351.15	Facility		$113.39	$172.69	$351.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $185.16 / $313.13	Professional		$121.07	$185.16	$313.13
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $167.87 / $271.80	Professional		$127.90	$167.87	$271.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $144.30 / $201.42	Professional		$127.27	$144.30	$201.42