Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $3,445.00 / $10,234.00	Facility		$312.95	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $234.53 / $397.84	Professional		$137.08	$234.53	$397.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $431.09	Professional		$86.94	$86.94	$431.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.90 / $344.08 / $1,369.24	Facility		$157.90	$344.08	$1,369.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $287.70 / $404.27	Professional		$170.83	$287.70	$404.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $188.21 / $344.30	Facility		$188.21	$188.21	$344.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.17 / $342.67 / $2,530.00	Facility		$289.17	$342.67	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $285.76 / $484.75	Professional		$172.05	$285.76	$484.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,299.72	Facility		$55.00	$55.00	$1,299.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.32 / $2,244.96 / $2,645.63	Professional		$1,338.32	$2,244.96	$2,645.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $231.45 / $441.63	Facility		$142.07	$231.45	$441.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $349.29 / $546.71	Professional		$235.07	$349.29	$546.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $251.18 / $460.80	Professional		$176.10	$251.18	$460.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $235.87 / $484.38	Facility		$142.07	$235.87	$484.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $326.86 / $607.36	Professional		$181.61	$326.86	$607.36
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $278.24 / $469.71	Professional		$178.84	$278.24	$469.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.22 / $303.02 / $411.68	Professional		$259.22	$303.02	$411.68