Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.27 / $2,124.00 / $7,542.00	Facility		$474.27	$2,124.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $447.67 / $686.52	Professional		$141.58	$447.67	$686.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $126.69 / $141.99	Professional		$126.69	$126.69	$141.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $377.91 / $624.15	Professional		$130.88	$377.91	$624.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $126.46 / $126.46	Facility		$126.46	$126.46	$126.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.01 / $337.18 / $971.98	Professional		$165.01	$337.18	$971.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $713.64	Facility		$55.00	$55.00	$713.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.75 / $3,038.48 / $3,595.20	Professional		$1,622.75	$3,038.48	$3,595.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $401.86 / $740.18	Facility		$147.33	$401.86	$740.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $242.85 / $721.16	Professional		$180.40	$242.85	$721.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $410.91 / $742.58	Professional		$144.69	$410.91	$742.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $401.86 / $843.26	Facility		$147.33	$401.86	$843.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $380.07 / $1,008.58	Professional		$168.11	$380.07	$1,008.58
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 $453.29 / $631.24 / $1,002.10	Professional		$453.29	$631.24	$1,002.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $394.52 / $557.66	Professional		$351.71	$394.52	$557.66