Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $2,017.00 / $6,691.00	Facility		$121.68	$2,017.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $91.58 / $146.43	Professional		$60.20	$91.58	$146.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $87.19 / $87.19	Professional		$87.19	$87.19	$87.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $73.20 / $304.77	Facility		$41.17	$73.20	$304.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $96.22 / $156.09	Professional		$60.02	$96.22	$156.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $101.75 / $101.75	Facility		$57.41	$101.75	$101.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $110.28 / $185.86	Professional		$70.79	$110.28	$185.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $317.87	Facility		$55.00	$55.00	$317.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $764.00 / $871.28	Professional		$764.00	$764.00	$871.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $104.09 / $180.64	Facility		$67.20	$104.09	$180.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $118.52 / $180.49	Professional		$82.84	$118.52	$180.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Professional		$123.40	$123.40	$123.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.40 / $188.06	Facility		$67.61	$104.40	$188.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $114.66 / $192.24	Professional		$72.12	$114.66	$192.24
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $101.51 / $165.81	Professional		$75.00	$101.51	$165.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $96.82 / $135.38	Professional		$85.58	$96.82	$135.38