Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.27 / $2,020.00 / $7,513.00	Facility		$368.27	$2,020.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $277.82 / $418.79	Professional		$80.79	$277.82	$418.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.20 / $373.49 / $838.59	Facility		$230.20	$373.49	$838.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $265.82 / $432.82	Professional		$79.72	$265.82	$432.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $81.23 / $357.42	Facility		$81.23	$81.23	$357.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $187.61 / $1,652.00	Facility		$148.19	$187.61	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $213.65 / $551.48	Professional		$94.25	$213.65	$551.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $505.70	Facility		$55.00	$55.00	$505.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.10 / $2,311.12 / $2,742.60	Professional		$1,184.10	$2,311.12	$2,742.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $257.18 / $523.09	Facility		$83.24	$257.18	$523.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $345.14 / $564.77	Professional		$110.59	$345.14	$564.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $273.05 / $693.53	Professional		$85.85	$273.05	$693.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $271.05 / $576.48	Facility		$83.24	$271.05	$576.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $253.11 / $704.99	Professional		$98.46	$253.11	$704.99
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $365.30 / $590.32	Professional		$255.14	$365.30	$590.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $312.86 / $425.20	Professional		$267.77	$312.86	$425.20