Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $2,512.00 / $7,542.00	Facility		$39.22	$2,512.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $30.35 / $50.95	Professional		$21.93	$30.35	$50.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $63.16 / $139.87	Facility		$27.51	$63.16	$139.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $30.43 / $47.68	Professional		$22.59	$30.43	$47.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $390.13 / $390.13	Facility		$21.11	$390.13	$390.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Facility		$41.73	$41.73	$41.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $39.92 / $67.59	Professional		$27.19	$39.92	$67.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $118.85	Facility		$55.00	$55.00	$118.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $824.00 / $824.00	Professional		$178.24	$824.00	$824.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $35.17 / $61.11	Facility		$24.31	$35.17	$61.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $41.32 / $55.42	Professional		$30.69	$41.32	$55.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $70.90 / $70.90	Professional		$70.90	$70.90	$70.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $35.97 / $61.50	Facility		$24.32	$35.97	$61.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $41.76 / $68.70	Professional		$27.32	$41.76	$68.70
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $38.79 / $63.38	Professional		$27.81	$38.79	$63.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $30.18 / $42.01	Professional		$26.50	$30.18	$42.01