Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.69 / $2,444.00 / $7,408.00	Facility		$225.69	$2,444.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $203.58 / $305.69	Professional		$130.88	$203.58	$305.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $128.25 / $128.25	Professional		$128.25	$128.25	$128.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $236.43 / $947.50	Facility		$137.79	$236.43	$947.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $200.54 / $337.45	Professional		$123.50	$200.54	$337.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $3,098.76 / $3,098.76	Facility		$119.39	$3,098.76	$3,098.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $213.12 / $2,213.00	Facility		$179.85	$213.12	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $236.05 / $404.49	Professional		$146.94	$236.05	$404.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $956.88	Facility		$55.00	$55.00	$956.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $987.44 / $1,560.08 / $1,823.40	Professional		$987.44	$1,560.08	$1,823.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $214.07 / $371.68	Facility		$135.58	$214.07	$371.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $246.67 / $378.45	Professional		$172.41	$246.67	$378.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $216.90 / $582.10	Professional		$5.00	$216.90	$582.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $214.91 / $383.88	Facility		$135.93	$214.91	$383.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $257.62 / $463.39	Professional		$154.07	$257.62	$463.39
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,563.00	Facility		$597.00	$2,054.00	$4,563.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $234.00 / $360.92	Professional		$169.18	$234.00	$360.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $209.86 / $284.88	Professional		$179.44	$209.86	$284.88