Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $2,020.00 / $6,691.00	Facility		$208.52	$2,020.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $161.74 / $238.11	Professional		$69.64	$161.74	$238.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $96.91	Professional		$31.50	$31.50	$96.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.48 / $1,576.63 / $3,404.31	Facility		$881.48	$1,576.63	$3,404.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $144.12 / $233.45	Professional		$66.83	$144.12	$233.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $67.55 / $190.83	Facility		$67.55	$67.55	$190.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $1,652.00	Facility		$684.87	$908.58	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $174.01 / $326.02	Professional		$81.84	$174.01	$326.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $415.25 / $11,500.00 / $12,000.00	Facility		$415.25	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $675.97 / $1,272.24 / $1,503.30	Professional		$675.97	$1,272.24	$1,503.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $161.94 / $280.64	Facility		$70.88	$161.94	$280.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $189.65 / $310.33	Professional		$92.51	$189.65	$310.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $181.39 / $410.62	Professional		$74.52	$181.39	$410.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $165.01 / $294.19	Facility		$70.97	$165.01	$294.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $188.82 / $388.32	Professional		$85.21	$188.82	$388.32
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,045.00 / $4,475.00	Facility		$564.00	$2,045.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $185.19 / $288.39	Professional		$133.66	$185.19	$288.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $171.92 / $233.44	Professional		$147.15	$171.92	$233.44