Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $109.65	Professional		$39.81	$70.79	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $281.84	Facility		$42.66	$66.07	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $95.50	Professional		$38.02	$66.07	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $48.98 / $48.98	Facility		$37.15	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $141.25	Professional		$45.71	$81.28	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $2,951.21	Facility		$42.66	$97.72	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $144.54	Professional		$40.74	$75.86	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $154.88 / $199.53	Professional		$3.02	$154.88	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $147.91	Facility		$40.74	$79.43	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Professional		$46.77	$81.28	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $112.20	Professional		$38.02	$64.57	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Professional		$75.86	$79.43	$79.43