Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,124.00 / $7,513.00	Facility		$461.00	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $166.95 / $262.62	Professional		$137.19	$166.95	$262.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.06 / $214.06 / $214.06	Professional		$214.06	$214.06	$214.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.21 / $218.86 / $837.15	Facility		$127.21	$218.86	$837.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $207.27 / $288.77	Professional		$163.75	$207.27	$288.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $155.85 / $155.85	Facility		$155.85	$155.85	$155.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $401.00 / $637.00	Facility		$255.00	$401.00	$637.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $236.48 / $354.64	Professional		$171.71	$236.48	$354.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.80 / $1,268.80 / $1,544.03	Professional		$1,232.80	$1,268.80	$1,544.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $236.21 / $393.47	Facility		$168.25	$236.21	$393.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $264.27 / $310.91	Professional		$190.00	$264.27	$310.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $227.00	Professional		$227.00	$227.00	$227.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $244.99 / $496.95	Facility		$168.68	$244.99	$496.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $238.13 / $372.95	Professional		$172.24	$238.13	$372.95
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 $149.55 / $197.85 / $317.80	Professional		$149.55	$197.85	$317.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $168.25 / $230.23	Professional		$147.41	$168.25	$230.23