Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.94 / $549.57 / $1,467.00	Facility		$217.94	$549.57	$1,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $217.94 / $377.68	Professional		$164.93	$217.94	$377.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $147.26 / $147.26	Professional		$147.26	$147.26	$147.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.97 / $939.52 / $1,596.30	Facility		$361.97	$939.52	$1,596.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $161.99 / $412.33	Professional		$5.00	$161.99	$412.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $217.95 / $294.52	Facility		$217.95	$217.95	$294.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.20 / $684.93 / $1,488.73	Facility		$266.20	$684.93	$1,488.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $279.76 / $583.00	Professional		$151.52	$279.76	$583.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $636.99 / $1,398.97 / $1,398.97	Facility		$636.99	$1,398.97	$1,398.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.60 / $1,472.60 / $2,208.90	Professional		$1,472.60	$1,472.60	$2,208.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.66 / $294.52 / $501.57	Facility		$179.66	$294.52	$501.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.79 / $294.52 / $368.15	Professional		$279.79	$294.52	$368.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.44 / $353.42 / $662.67	Professional		$191.44	$353.42	$662.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $362.01 / $1,272.77	Facility		$206.16	$362.01	$1,272.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $338.70 / $535.41	Professional		$157.06	$338.70	$535.41
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $168.75 / $232.51	Professional		$123.70	$168.75	$232.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $152.56 / $294.52	Professional		$145.44	$152.56	$294.52