Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.86 / $2,550.00 / $7,495.00	Facility		$397.86	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $359.04 / $623.79	Professional		$225.28	$359.04	$623.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $263.58 / $263.58	Professional		$263.58	$263.58	$263.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $454.42 / $963.58	Facility		$265.08	$454.42	$963.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $255.60 / $410.49	Professional		$197.09	$255.60	$410.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $183.90 / $273.81	Facility		$183.90	$183.90	$273.81
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 $230.77 / $549.66 / $864.21	Professional		$230.77	$549.66	$864.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.40 / $16,394.00 / $16,394.00	Facility		$1,716.40	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.00 / $2,991.20 / $3,089.91	Professional		$2,839.00	$2,991.20	$3,089.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.40 / $462.42 / $857.90	Facility		$222.40	$462.42	$857.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $323.06 / $413.52	Professional		$228.43	$323.06	$413.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.81 / $292.29 / $483.20	Professional		$211.81	$292.29	$483.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $458.73 / $870.00	Facility		$221.74	$458.73	$870.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $549.04 / $844.06	Professional		$247.82	$549.04	$844.06
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 $401.95 / $535.92 / $812.48	Professional		$401.95	$535.92	$812.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $248.66 / $350.65	Professional		$220.58	$248.66	$350.65