Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.49 / $2,124.00 / $7,316.00	Facility		$387.49	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $289.94 / $473.37	Professional		$140.58	$289.94	$473.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $148.29 / $148.29	Professional		$148.29	$148.29	$148.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,349.00 / $6,612.00	Facility		$1,845.00	$4,349.00	$6,612.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $281.35 / $527.50	Professional		$143.87	$281.35	$527.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $380.72 / $380.72	Facility		$140.63	$380.72	$380.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.07 / $327.27 / $589.52	Professional		$180.07	$327.27	$589.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $908.35 / $1,500.00	Facility		$55.00	$908.35	$1,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.99 / $2,443.36 / $2,822.40	Professional		$1,269.99	$2,443.36	$2,822.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $318.30 / $541.90	Facility		$149.97	$318.30	$541.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $409.19 / $636.62	Professional		$196.79	$409.19	$636.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $381.76 / $668.10	Professional		$169.99	$381.76	$668.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $320.87 / $550.16	Facility		$150.35	$320.87	$550.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $365.97 / $723.99	Professional		$187.90	$365.97	$723.99
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.57 / $377.60 / $618.42	Professional		$289.57	$377.60	$618.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $314.58 / $443.95	Professional		$279.38	$314.58	$443.95