Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,754.23 / $6,918.31	Facility		$676.08	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $100.00	Professional		$32.36	$45.71	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $51.29	Professional		$28.18	$43.65	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $218.78	Facility		$38.90	$100.00	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $60.26	Professional		$30.90	$42.66	$60.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $257.04 / $257.04	Facility		$28.84	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $97.72	Professional		$38.02	$56.23	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $2,454.71	Facility		$33.88	$60.26	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $85.11	Professional		$33.11	$48.98	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $37.15	Professional		$27.54	$32.36	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $97.72	Professional		$85.11	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $97.72	Facility		$33.88	$54.95	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $97.72	Professional		$37.15	$57.54	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $74.13	Professional		$30.90	$45.71	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $47.86	Professional		$44.67	$47.86	$47.86