Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $1,978.00 / $7,225.33	Facility		$208.60	$1,978.00	$7,225.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $142.63 / $202.18	Professional		$67.29	$142.63	$202.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $149.58 / $149.58	Professional		$149.58	$149.58	$149.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $167.92 / $684.71	Facility		$99.57	$167.92	$684.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $131.22 / $247.94	Professional		$64.05	$131.22	$247.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $57.08	Facility		$34.92	$34.92	$57.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $159.72 / $159.72	Facility		$159.72	$159.72	$159.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $172.99 / $303.20	Professional		$80.70	$172.99	$303.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $477.21	Facility		$55.00	$55.00	$477.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.00 / $1,334.92 / $1,378.98	Professional		$743.00	$1,334.92	$1,378.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $159.66 / $310.18	Facility		$69.25	$159.66	$310.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $171.50 / $280.64	Professional		$87.05	$171.50	$280.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $323.70 / $323.70	Professional		$323.70	$323.70	$323.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $159.71 / $334.77	Facility		$69.25	$159.71	$334.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $179.60 / $306.86	Professional		$81.25	$179.60	$306.86
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 $132.61 / $177.45 / $289.06	Professional		$132.61	$177.45	$289.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $149.58 / $211.61	Professional		$133.06	$149.58	$211.61