Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,918.31	Facility		$389.05	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $363.08	Professional		$107.15	$190.55	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $331.13	Professional		$104.71	$245.47	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $794.33	Facility		$109.65	$177.83	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $257.04	Professional		$102.33	$173.78	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $213.80	Facility		$104.71	$120.23	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $218.78	Facility		$158.49	$173.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $380.19	Professional		$117.49	$208.93	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $1,513.56	Facility		$147.91	$147.91	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $512.86	Facility		$109.65	$208.93	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $380.19	Professional		$107.15	$194.98	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $660.69	Professional		$239.88	$380.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $354.81	Facility		$107.15	$199.53	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $407.38	Professional		$117.49	$213.80	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $263.03	Professional		$95.50	$158.49	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $245.47	Professional		$85.11	$213.80	$245.47