Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.37 / $2,107.00 / $6,762.00	Facility		$294.37	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $222.94 / $339.66	Professional		$131.62	$222.94	$339.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $277.22	Professional		$195.00	$195.00	$277.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $208.27 / $820.83	Facility		$127.55	$208.27	$820.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $217.45 / $306.29	Professional		$126.20	$217.45	$306.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $258.89	Facility		$128.93	$128.93	$258.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.61 / $237.72 / $1,652.00	Facility		$200.61	$237.72	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $258.70 / $436.45	Professional		$149.91	$258.70	$436.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $972.72	Facility		$55.00	$55.00	$972.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.08 / $1,749.68 / $2,050.28	Professional		$1,010.08	$1,749.68	$2,050.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $228.94 / $379.77	Facility		$133.19	$228.94	$379.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $271.55 / $425.03	Professional		$176.62	$271.55	$425.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $267.30 / $538.08	Professional		$144.86	$267.30	$538.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $232.10 / $403.41	Facility		$133.24	$232.10	$403.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $285.66 / $507.54	Professional		$159.16	$285.66	$507.54
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 $186.56 / $253.40 / $399.50	Professional		$186.56	$253.40	$399.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $235.62 / $319.80	Professional		$201.53	$235.62	$319.80