Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $88.71 / $1,357.27	Facility		$71.65	$88.71	$1,357.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $84.77 / $151.88	Professional		$70.36	$84.77	$151.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $110.07 / $110.07	Professional		$110.07	$110.07	$110.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,098.40 / $3,886.44 / $7,537.78	Facility		$2,098.40	$3,886.44	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $101.03 / $148.21	Professional		$76.75	$101.03	$148.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $80.34 / $80.34	Facility		$80.34	$80.34	$80.34
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 $87.48 / $121.38 / $190.71	Professional		$87.48	$121.38	$190.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,496.40	Facility		$55.00	$55.00	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $121.22 / $224.78	Facility		$85.62	$121.22	$224.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $135.11 / $158.96	Professional		$114.80	$135.11	$158.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $165.60 / $165.60	Professional		$165.60	$165.60	$165.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $122.67 / $232.55	Facility		$85.62	$122.67	$232.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $123.83 / $202.81	Professional		$87.48	$123.83	$202.81
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 $76.80 / $105.05 / $163.19	Professional		$76.80	$105.05	$163.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $86.14 / $117.49	Professional		$75.37	$86.14	$117.49