Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $3,445.00 / $10,234.00	Facility		$137.59	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $139.94 / $208.79	Professional		$106.68	$139.94	$208.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $125.08 / $152.01	Professional		$116.32	$125.08	$152.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $119.62 / $448.27	Facility		$71.63	$119.62	$448.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $139.87 / $201.76	Professional		$110.50	$139.87	$201.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.78 / $104.78 / $137.11	Facility		$104.78	$104.78	$137.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $97.95 / $101.15	Facility		$97.95	$97.95	$101.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $154.19 / $236.90	Professional		$117.81	$154.19	$236.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $838.38	Facility		$55.00	$55.00	$838.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $1,236.02 / $1,597.12	Professional		$888.56	$1,236.02	$1,597.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $148.08 / $241.26	Facility		$107.97	$148.08	$241.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $168.62 / $207.54	Professional		$130.22	$168.62	$207.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $130.51 / $148.28	Professional		$112.33	$130.51	$148.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.69 / $148.08 / $254.25	Facility		$107.69	$148.08	$254.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $158.62 / $247.31	Professional		$121.44	$158.62	$247.31
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,081.00 / $2,827.00	Facility		$161.00	$1,081.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $136.06 / $204.35	Professional		$102.05	$136.06	$204.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $125.08 / $175.91	Professional		$110.70	$125.08	$175.91