Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $2,107.00 / $6,762.00	Facility		$180.69	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $138.99 / $208.05	Professional		$87.06	$138.99	$208.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $165.53 / $165.53	Professional		$165.53	$165.53	$165.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $137.26 / $191.27	Professional		$81.56	$137.26	$191.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $77.67 / $146.47	Facility		$77.67	$77.67	$146.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $2,277.00 / $4,619.00	Facility		$153.58	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $162.24 / $284.30	Professional		$102.57	$162.24	$284.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $516.00	Facility		$55.00	$55.00	$516.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $1,073.52 / $1,234.88	Professional		$651.20	$1,073.52	$1,234.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $151.37 / $274.56	Facility		$90.68	$151.37	$274.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $160.65 / $256.36	Professional		$112.28	$160.65	$256.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $152.69 / $398.20	Professional		$27.40	$152.69	$398.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $151.69 / $296.56	Facility		$90.68	$151.69	$296.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $176.97 / $323.82	Professional		$105.36	$176.97	$323.82
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 $117.09 / $160.16 / $258.70	Professional		$117.09	$160.16	$258.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $143.47 / $194.37	Professional		$122.58	$143.47	$194.37