Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,124.00 / $7,316.00	Facility		$425.00	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $355.98 / $552.02	Professional		$268.83	$355.98	$552.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $308.39 / $462.58	Professional		$308.39	$308.39	$462.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.89 / $405.74 / $936.81	Facility		$240.89	$405.74	$936.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.99 / $367.90 / $504.89	Professional		$291.99	$367.90	$504.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $280.94 / $280.94 / $339.04	Facility		$280.94	$280.94	$339.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $396.22 / $578.29	Professional		$308.39	$396.22	$578.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,222.58	Facility		$55.00	$55.00	$2,222.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,352.64 / $2,555.02 / $2,745.83	Professional		$2,352.64	$2,555.02	$2,745.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.94 / $393.35 / $581.75	Facility		$274.94	$393.35	$581.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.14 / $415.88 / $533.39	Professional		$345.14	$415.88	$533.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $450.50 / $450.50	Professional		$450.50	$450.50	$450.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.32 / $395.21 / $602.02	Facility		$272.32	$395.21	$602.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $411.83 / $615.77	Professional		$310.61	$411.83	$615.77
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,081.00 / $2,827.00	Facility		$161.00	$1,081.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $333.47 / $494.07	Professional		$251.28	$333.47	$494.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $308.39 / $433.92	Professional		$273.02	$308.39	$433.92