Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,754.23 / $7,413.10	Facility		$630.96	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $371.54	Professional		$131.83	$208.93	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $257.04	Professional		$194.98	$208.93	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $1,000.00	Facility		$144.54	$234.42	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $316.23	Professional		$125.89	$199.53	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $3,090.30 / $3,090.30	Facility		$120.23	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $251.19	Facility		$177.83	$204.17	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $426.58	Professional		$144.54	$234.42	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,995.26	Facility		$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $575.44	Facility		$138.04	$229.09	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $380.19	Professional		$131.83	$208.93	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $575.44	Professional		$190.55	$436.52	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $398.11	Facility		$134.90	$223.87	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $446.68	Professional		$144.54	$239.88	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,897.79	Facility		$676.08	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $309.03	Professional		$123.03	$190.55	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $239.88	Professional		$104.71	$208.93	$239.88