Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.60 / $2,128.00 / $6,762.00	Facility		$331.60	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $176.21 / $313.87	Professional		$82.69	$176.21	$313.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.25 / $207.25 / $207.25	Professional		$207.25	$207.25	$207.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.48 / $1,274.92 / $2,687.89	Facility		$706.48	$1,274.92	$2,687.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $182.99 / $294.79	Professional		$85.60	$182.99	$294.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.96 / $778.68 / $778.68	Facility		$83.96	$778.68	$778.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $160.15	Facility		$160.15	$160.15	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $192.20 / $351.04	Professional		$102.75	$192.20	$351.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $648.96 / $11,500.00 / $12,000.00	Facility		$648.96	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,489.00 / $2,489.00 / $2,489.00	Professional		$2,489.00	$2,489.00	$2,489.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $210.62 / $332.28	Facility		$91.85	$210.62	$332.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $253.84 / $402.50	Professional		$119.42	$253.84	$402.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $217.44 / $432.26	Professional		$94.05	$217.44	$432.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $211.40 / $341.39	Facility		$92.04	$211.40	$341.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $196.36 / $391.47	Professional		$104.44	$196.36	$391.47
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $220.56 / $356.26	Professional		$165.04	$220.56	$356.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $207.25 / $293.54	Professional		$184.69	$207.25	$293.54