Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,290.87 / $7,413.10	Facility		$436.52	$2,290.87	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $407.38	Professional		$162.18	$234.42	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $933.25	Facility		$138.04	$218.78	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $346.74	Professional		$151.36	$213.80	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $229.09	Facility		$147.91	$147.91	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $199.53 / $281.84	Facility		$173.78	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $457.09	Professional		$173.78	$263.03	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $1,949.84	Professional		$1,698.24	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $616.60	Facility		$165.96	$263.03	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $407.38	Professional		$162.18	$234.42	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $616.60	Professional		$218.78	$457.09	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $446.68	Facility		$165.96	$257.04	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $478.63	Professional		$169.82	$269.15	$478.63
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 $144.54 / $213.80 / $338.84	Professional		$144.54	$213.80	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $257.04	Professional		$128.82	$229.09	$257.04