Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $2,090.00 / $7,316.00	Facility		$318.37	$2,090.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $196.73 / $330.00	Professional		$122.25	$196.73	$330.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $198.98 / $198.98	Professional		$198.98	$198.98	$198.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $216.42 / $854.33	Facility		$138.04	$216.42	$854.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $200.10 / $303.37	Professional		$120.36	$200.10	$303.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $110.03 / $211.78	Facility		$110.03	$110.03	$211.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.58 / $179.58 / $185.45	Facility		$179.58	$179.58	$185.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $212.91 / $354.71	Professional		$136.27	$212.91	$354.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $901.68	Facility		$55.00	$55.00	$901.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $957.04 / $1,789.58 / $2,357.73	Professional		$957.04	$1,789.58	$2,357.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.02 / $219.87 / $366.17	Facility		$130.02	$219.87	$366.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $228.07 / $352.48	Professional		$140.19	$228.07	$352.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.50 / $352.50 / $352.50	Professional		$352.50	$352.50	$352.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.02 / $219.87 / $369.05	Facility		$130.02	$219.87	$369.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $223.46 / $362.85	Professional		$138.94	$223.46	$362.85
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,376.00 / $4,764.00	Facility		$663.00	$2,376.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.82 / $220.87 / $325.45	Professional		$171.82	$220.87	$325.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $198.98 / $281.26	Professional		$176.96	$198.98	$281.26