Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.85 / $3,500.00 / $12,040.00	Facility		$379.85	$3,500.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $316.49 / $482.05	Professional		$232.75	$316.49	$482.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $285.37 / $285.37	Professional		$285.37	$285.37	$285.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $269.33 / $1,084.46	Facility		$157.71	$269.33	$1,084.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $291.14 / $427.87	Professional		$225.55	$291.14	$427.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $204.99 / $314.89	Facility		$204.99	$204.99	$314.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.45 / $209.45 / $216.29	Facility		$209.45	$209.45	$216.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $343.56 / $541.99	Professional		$254.55	$343.56	$541.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,693.68	Facility		$55.00	$55.00	$1,693.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.00 / $3,340.19 / $3,340.19	Professional		$2,726.00	$3,340.19	$3,340.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.22 / $349.14 / $566.23	Facility		$247.22	$349.14	$566.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $369.15 / $502.04	Professional		$262.94	$369.15	$502.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $299.70 / $547.88	Professional		$213.12	$299.70	$547.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.22 / $351.85 / $576.39	Facility		$247.22	$351.85	$576.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $352.36 / $553.24	Professional		$257.93	$352.36	$553.24
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $326.70 / $499.90	Professional		$238.41	$326.70	$499.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $285.37 / $400.52	Professional		$252.05	$285.37	$400.52