Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $127.53 / $207.03	Professional		$116.38	$127.53	$207.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $106.05 / $106.05	Professional		$106.05	$106.05	$106.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $149.79 / $207.89	Professional		$118.50	$149.79	$207.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $108.20 / $113.38	Facility		$108.20	$108.20	$113.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $181.16 / $289.85	Professional		$130.90	$181.16	$289.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $495.90 / $1,300.00	Facility		$55.00	$495.90	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $162.44 / $298.47	Facility		$121.83	$162.44	$298.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $204.95 / $254.77	Professional		$158.37	$204.95	$254.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $249.40 / $321.70	Professional		$5.00	$249.40	$321.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $165.18 / $302.89	Facility		$122.34	$165.18	$302.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $192.81 / $343.23	Professional		$132.86	$192.81	$343.23
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $146.02 / $245.37	Professional		$111.15	$146.02	$245.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $121.99 / $168.01	Professional		$106.01	$121.99	$168.01