Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $559.79 / $1,425.60	Facility		$216.00	$559.79	$1,425.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $210.00 / $360.00	Professional		$168.00	$210.00	$360.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $741.00 / $1,539.00	Facility		$375.00	$741.00	$1,539.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $165.00 / $420.00	Professional		$5.00	$165.00	$420.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $297.00 / $300.00	Facility		$297.00	$297.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $688.34 / $1,336.23	Facility		$229.64	$688.34	$1,336.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $185.49 / $503.04	Professional		$145.83	$185.49	$503.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.99 / $1,425.00 / $1,425.00	Facility		$516.99	$1,425.00	$1,425.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $300.00 / $450.00	Facility		$180.00	$300.00	$450.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $300.00 / $375.00	Professional		$285.00	$300.00	$375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $360.00 / $675.00	Professional		$195.00	$360.00	$675.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $345.00 / $1,222.98	Facility		$210.00	$345.00	$1,222.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $270.00 / $501.82	Professional		$145.83	$270.00	$501.82
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.38 / $197.71	Professional		$126.00	$138.38	$197.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $300.00 / $405.00	Professional		$117.00	$300.00	$405.00