Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $2,080.00 / $6,762.00	Facility		$180.83	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $150.24 / $338.99	Professional		$91.61	$150.24	$338.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $126.58 / $161.36	Professional		$101.62	$126.58	$161.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $143.91 / $344.53	Facility		$107.94	$143.91	$344.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $137.88 / $197.12	Professional		$85.39	$137.88	$197.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $83.90 / $160.66	Facility		$83.90	$83.90	$160.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $1,487.00 / $2,441.00	Facility		$158.83	$1,487.00	$2,441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $162.34 / $281.89	Professional		$101.90	$162.34	$281.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $546.00	Facility		$55.00	$55.00	$546.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $678.96 / $780.60 / $1,247.33	Professional		$678.96	$780.60	$1,247.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $148.74 / $275.70	Facility		$92.08	$148.74	$275.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $169.06 / $257.52	Professional		$118.16	$169.06	$257.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $162.38 / $336.70	Professional		$94.49	$162.38	$336.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $150.24 / $302.75	Facility		$92.08	$150.24	$302.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $184.63 / $345.41	Professional		$107.70	$184.63	$345.41
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 $116.82 / $155.37 / $251.55	Professional		$116.82	$155.37	$251.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $144.00 / $195.21	Professional		$123.13	$144.00	$195.21