Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.59 / $2,444.00 / $7,078.00	Facility		$358.59	$2,444.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $230.59 / $370.51	Professional		$109.72	$230.59	$370.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $115.06 / $252.65	Professional		$115.06	$115.06	$252.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.22 / $1,872.26 / $3,573.05	Facility		$844.22	$1,872.26	$3,573.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $222.63 / $419.59	Professional		$112.31	$222.63	$419.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $439.90 / $439.90	Facility		$103.61	$439.90	$439.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $257.52 / $458.90	Professional		$136.28	$257.52	$458.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $549.53 / $594.04	Facility		$55.00	$549.53	$594.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.12 / $1,955.12 / $2,259.83	Professional		$1,016.12	$1,955.12	$2,259.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $240.16 / $400.43	Facility		$114.38	$240.16	$400.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $340.61 / $643.39	Professional		$152.65	$340.61	$643.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $170.70 / $349.20	Professional		$76.34	$170.70	$349.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $246.39 / $419.88	Facility		$114.38	$246.39	$419.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $286.48 / $574.75	Professional		$141.43	$286.48	$574.75
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $296.32 / $485.30	Professional		$228.06	$296.32	$485.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $251.70 / $355.35	Professional		$223.62	$251.70	$355.35