Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $2,020.00 / $6,762.00	Facility		$131.71	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $111.93 / $158.21	Professional		$39.15	$111.93	$158.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.69 / $164.69 / $164.69	Professional	50	$164.69	$164.69	$164.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $109.39 / $143.58	Professional		$107.04	$109.39	$143.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $171.93 / $171.93 / $171.93	Professional	50	$171.93	$171.93	$171.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $128.99 / $446.27	Facility		$70.54	$128.99	$446.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $103.94 / $168.85	Professional		$35.27	$103.94	$168.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $354.99 / $354.99	Facility		$33.19	$354.99	$354.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $118.40 / $118.40	Facility		$118.40	$118.40	$118.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $128.46 / $242.96	Professional		$44.63	$128.46	$242.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $183.80	Facility		$55.00	$55.00	$183.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.21 / $847.68 / $979.35	Professional		$441.21	$847.68	$979.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.35 / $242.35	Facility		$40.74	$120.35	$242.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $84.37 / $195.86	Professional		$47.94	$84.37	$195.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $111.69 / $212.29	Professional		$36.61	$111.69	$212.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.64 / $245.74	Facility		$40.74	$120.64	$245.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $137.69 / $249.50	Professional		$45.50	$137.69	$249.50
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $943.00 / $2,376.00	Facility		$157.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $149.11 / $217.81	Professional		$97.96	$149.11	$217.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $107.04 / $151.38	Professional		$95.52	$107.04	$151.38