Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $2,020.00 / $6,691.00	Facility		$291.02	$2,020.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $133.22 / $316.43	Professional		$83.19	$133.22	$316.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $212.05 / $212.05	Professional		$62.31	$212.05	$212.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.68 / $1,556.54 / $3,313.93	Facility		$828.68	$1,556.54	$3,313.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $184.91 / $329.30	Professional		$79.72	$184.91	$329.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $78.87 / $272.87	Facility		$78.87	$78.87	$272.87
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 $97.78 / $172.53 / $346.84	Professional		$97.78	$172.53	$346.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $11,500.00 / $12,000.00	Facility		$593.88	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $951.42 / $1,801.68 / $2,125.13	Professional		$951.42	$1,801.68	$2,125.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $141.60 / $304.10	Facility		$84.46	$141.60	$304.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $268.27 / $439.00	Professional		$110.18	$268.27	$439.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $266.50 / $512.00	Professional		$93.96	$266.50	$512.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $144.74 / $315.95	Facility		$84.52	$144.74	$315.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $191.76 / $436.28	Professional		$101.98	$191.76	$436.28
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $152.83 / $250.34	Professional		$109.20	$152.83	$250.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $243.28 / $330.45	Professional		$208.15	$243.28	$330.45