Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $2,017.00 / $6,762.00	Facility		$172.85	$2,017.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $144.79 / $208.79	Professional		$105.58	$144.79	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $173.23 / $173.23	Professional		$173.23	$173.23	$173.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $144.91 / $596.33	Facility		$85.75	$144.91	$596.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $137.51 / $225.21	Professional		$101.57	$137.51	$225.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $43.91 / $98.84	Facility		$43.91	$43.91	$98.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $132.33 / $1,652.00	Facility		$111.67	$132.33	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $169.53 / $293.31	Professional		$116.83	$169.53	$293.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $781.32	Facility		$55.00	$55.00	$781.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $808.64 / $1,052.00 / $1,221.83	Professional		$808.64	$1,052.00	$1,221.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $155.00 / $259.14	Facility		$110.00	$155.00	$259.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $184.21 / $254.43	Professional		$140.87	$184.21	$254.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $184.00 / $391.50	Professional		$5.00	$184.00	$391.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $155.71 / $288.41	Facility		$110.57	$155.71	$288.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $187.67 / $343.20	Professional		$122.30	$187.67	$343.20
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $161.96 / $250.91	Professional		$121.80	$161.96	$250.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $141.15 / $191.50	Professional		$120.64	$141.15	$191.50