Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.54 / $2,080.00 / $6,691.00	Facility		$218.54	$2,080.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $171.98 / $267.52	Professional		$143.47	$171.98	$267.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $179.96 / $179.96	Professional		$179.96	$179.96	$179.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $3,822.09 / $7,494.30	Facility		$2,023.00	$3,822.09	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $184.26 / $282.01	Professional		$143.85	$184.26	$282.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $3,298.34 / $3,298.34	Facility		$136.96	$3,298.34	$3,298.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $209.95 / $323.11	Professional		$156.77	$209.95	$323.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $788.17 / $12,000.00 / $12,000.00	Facility		$788.17	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.44 / $1,311.92 / $1,533.45	Professional		$1,123.44	$1,311.92	$1,533.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $191.08 / $330.20	Facility		$146.40	$191.08	$330.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $249.78 / $318.49	Professional		$196.79	$249.78	$318.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $193.98 / $355.13	Facility		$146.40	$193.98	$355.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $218.18 / $358.52	Professional		$156.77	$218.18	$358.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $171.66 / $285.12	Professional		$124.17	$171.66	$285.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $170.69 / $239.18	Professional		$151.01	$170.69	$239.18