Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $2,124.00 / $7,316.00	Facility		$53.63	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $39.15 / $57.43	Professional		$28.75	$39.15	$57.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $35.70	Professional		$15.25	$15.25	$35.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.61 / $524.28 / $1,162.53	Facility		$312.61	$524.28	$1,162.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $37.54 / $54.15	Professional		$29.70	$37.54	$54.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $39.42	Facility		$26.88	$26.88	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $44.09 / $67.67	Professional		$32.39	$44.09	$67.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $222.18	Facility		$55.00	$55.00	$222.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $267.14 / $315.23	Professional		$236.80	$267.14	$315.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $39.56 / $66.55	Facility		$31.49	$39.56	$66.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $47.94 / $62.70	Professional		$34.52	$47.94	$62.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $38.28 / $84.76	Professional		$30.64	$38.28	$84.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $39.65 / $65.66	Facility		$31.40	$39.65	$65.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $45.04 / $69.76	Professional		$34.04	$45.04	$69.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $40.06 / $61.88	Professional		$30.22	$40.06	$61.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $35.70 / $49.99	Professional		$31.48	$35.70	$49.99