Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.62 / $2,124.00 / $7,316.00	Facility		$315.62	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $207.06 / $351.59	Professional		$135.47	$207.06	$351.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $249.42 / $282.24	Professional	50	$194.52	$249.42	$282.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $200.27 / $200.27	Professional		$200.27	$200.27	$200.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $206.39 / $836.48	Facility		$118.91	$206.39	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $202.53 / $311.30	Professional		$132.72	$202.53	$311.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $124.45 / $221.67	Facility		$124.45	$124.45	$221.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $179.99 / $185.87	Facility		$179.99	$179.99	$185.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $217.50 / $339.63	Professional		$145.44	$217.50	$339.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,000.92	Facility		$55.00	$55.00	$1,000.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.59 / $1,798.73 / $1,917.67	Professional		$1,061.59	$1,798.73	$1,917.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.57 / $217.07 / $352.78	Facility		$138.57	$217.07	$352.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $229.49 / $333.81	Professional		$155.49	$229.49	$333.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $213.62 / $260.60	Professional		$139.08	$213.62	$260.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.57 / $217.07 / $357.47	Facility		$138.57	$217.07	$357.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $221.72 / $352.16	Professional		$151.51	$221.72	$352.16
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $213.35 / $310.19	Professional		$160.93	$213.35	$310.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $200.27 / $283.08	Professional		$178.06	$200.27	$283.08