Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $3,445.00 / $10,234.00	Facility		$42.18	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $41.73 / $63.69	Professional		$30.04	$41.73	$63.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $173.36 / $389.24	Facility		$92.68	$173.36	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $40.92 / $69.38	Professional		$30.94	$40.92	$69.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $28.47 / $42.42	Facility		$28.47	$28.47	$42.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $47.27 / $73.25	Professional		$34.39	$47.27	$73.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $233.64	Facility		$55.00	$55.00	$233.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $821.00 / $821.00	Professional		$420.00	$821.00	$821.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $47.86 / $74.27	Facility		$34.29	$47.86	$74.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $50.14 / $64.18	Professional		$36.29	$50.14	$64.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $40.06 / $92.36	Professional		$32.04	$40.06	$92.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $47.91 / $74.84	Facility		$34.29	$47.91	$74.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $47.87 / $73.92	Professional		$35.47	$47.87	$73.92
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $931.00 / $2,290.00	Facility		$157.00	$931.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $42.95 / $62.52	Professional		$32.21	$42.95	$62.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $38.76 / $54.39	Professional		$34.22	$38.76	$54.39