Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.82 / $2,124.00 / $7,316.00	Facility		$359.82	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $272.50 / $427.95	Professional		$184.74	$272.50	$427.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $262.20 / $262.20	Professional		$262.20	$262.20	$262.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $235.65 / $936.48	Facility		$137.06	$235.65	$936.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $257.83 / $404.03	Professional		$189.04	$257.83	$404.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $165.90 / $288.69	Facility		$165.90	$165.90	$288.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.55 / $185.55 / $191.62	Facility		$185.55	$185.55	$191.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $304.93 / $483.77	Professional		$215.20	$304.93	$483.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,649.69	Facility		$55.00	$55.00	$1,649.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.20 / $2,025.28 / $2,318.03	Professional		$1,511.20	$2,025.28	$2,318.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.78 / $307.37 / $472.66	Facility		$209.78	$307.37	$472.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $319.33 / $460.80	Professional		$219.54	$319.33	$460.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $383.24 / $659.14	Professional		$187.36	$383.24	$659.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.16 / $307.70 / $483.26	Facility		$209.16	$307.70	$483.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $313.72 / $498.00	Professional		$217.82	$313.72	$498.00
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 $220.59 / $292.08 / $435.56	Professional		$220.59	$292.08	$435.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $262.20 / $367.56	Professional		$231.34	$262.20	$367.56