Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $2,090.00 / $6,762.00	Facility		$44.95	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $35.81 / $64.93	Professional		$26.66	$35.81	$64.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $257.00 / $3,989.00	Facility		$11.84	$257.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $37.49 / $60.13	Professional		$27.23	$37.49	$60.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $37.38 / $37.38	Facility		$25.00	$37.38	$37.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $45.31 / $78.19	Professional		$31.18	$45.31	$78.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $187.07	Facility		$55.00	$55.00	$187.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.79 / $460.43 / $515.92	Professional		$324.79	$460.43	$515.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $43.41 / $81.65	Facility		$29.96	$43.41	$81.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $47.52 / $63.96	Professional		$36.17	$47.52	$63.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $99.90	Professional		$99.90	$99.90	$99.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $44.44 / $83.11	Facility		$29.96	$44.44	$83.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $46.61 / $81.28	Professional		$31.45	$46.61	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $42.15 / $67.28	Professional		$30.22	$42.15	$67.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.49 / $49.33	Professional		$31.19	$35.49	$49.33