Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.73 / $2,128.00 / $7,316.00	Facility		$303.73	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $205.30 / $310.52	Professional		$144.83	$205.30	$310.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $197.62 / $284.74	Professional		$189.83	$197.62	$284.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $184.62 / $726.63	Facility		$105.67	$184.62	$726.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $193.14 / $294.26	Professional		$148.36	$193.14	$294.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.71 / $135.71 / $209.42	Facility		$135.71	$135.71	$209.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $144.94 / $149.68	Facility		$144.94	$144.94	$149.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $225.54 / $344.83	Professional		$164.76	$225.54	$344.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,111.92	Facility		$55.00	$55.00	$1,111.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.76 / $1,684.43 / $2,399.48	Professional		$1,183.76	$1,684.43	$2,399.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.56 / $226.35 / $355.68	Facility		$157.56	$226.35	$355.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $245.84 / $314.67	Professional		$172.57	$245.84	$314.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $216.80 / $354.84	Professional		$152.22	$216.80	$354.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.99 / $226.35 / $359.73	Facility		$156.99	$226.35	$359.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $230.03 / $357.99	Professional		$168.41	$230.03	$357.99
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $206.43 / $306.12	Professional		$155.69	$206.43	$306.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $189.83 / $266.79	Professional		$167.85	$189.83	$266.79