Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $2,124.00 / $6,762.00	Facility		$249.34	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $211.62 / $751.52	Professional		$122.32	$211.62	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $60.37 / $269.44	Professional		$60.37	$60.37	$269.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.71 / $1,576.63 / $3,445.92	Facility		$883.71	$1,576.63	$3,445.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $189.53 / $264.12	Professional		$113.86	$189.53	$264.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $111.21 / $223.34	Facility		$111.21	$111.21	$223.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $222.18 / $369.21	Professional		$136.85	$222.18	$369.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $724.40	Facility		$55.00	$55.00	$724.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $896.80 / $1,030.05 / $1,720.20	Professional		$896.80	$1,030.05	$1,720.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $205.14 / $368.12	Facility		$122.32	$205.14	$368.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $228.77 / $358.07	Professional		$156.01	$228.77	$358.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $238.27 / $478.60	Professional		$131.25	$238.27	$478.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.04 / $208.56 / $426.28	Facility		$123.04	$208.56	$426.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $252.89 / $451.35	Professional		$143.69	$252.89	$451.35
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $217.90 / $343.99	Professional		$158.34	$217.90	$343.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $198.56 / $269.18	Professional		$169.78	$198.56	$269.18