Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $2,128.00 / $7,316.00	Facility		$178.88	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $121.59 / $183.63	Professional		$88.72	$121.59	$183.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $111.80 / $129.69	Professional		$71.15	$111.80	$129.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.83 / $3,133.88 / $6,109.95	Facility		$1,556.83	$3,133.88	$6,109.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $110.13 / $177.67	Professional		$80.75	$110.13	$177.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $122.62	Facility		$70.22	$70.22	$122.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $136.58 / $231.86	Professional		$93.74	$136.58	$231.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $606.72 / $12,000.00 / $12,000.00	Facility		$606.72	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $947.48 / $987.83	Professional		$648.40	$947.48	$987.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $144.16 / $223.27	Facility		$92.64	$144.16	$223.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $137.15 / $196.32	Professional		$94.29	$137.15	$196.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $117.39 / $149.78	Professional		$85.14	$117.39	$149.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $146.63 / $245.95	Facility		$92.64	$146.63	$245.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $141.69 / $229.22	Professional		$96.27	$141.69	$229.22
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $132.94 / $202.19	Professional		$97.87	$132.94	$202.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $111.80 / $156.52	Professional		$98.56	$111.80	$156.52