Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $409.97 / $1,148.94	Facility		$154.44	$409.97	$1,148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $163.80 / $280.80	Professional		$131.04	$163.80	$280.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $140.40	Professional		$140.40	$140.40	$140.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.42 / $711.36 / $1,380.60	Facility		$264.42	$711.36	$1,380.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $128.69 / $128.69	Professional		$5.00	$128.69	$128.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $234.00 / $234.00	Facility		$80.00	$234.00	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $467.71 / $997.11	Facility		$135.44	$467.71	$997.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $222.45 / $368.30	Professional		$118.64	$222.45	$368.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $1,111.50 / $1,111.50	Facility		$374.40	$1,111.50	$1,111.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,755.00	Professional		$1,170.00	$1,170.00	$1,755.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $234.00 / $351.00	Facility		$142.74	$234.00	$351.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $234.00 / $292.50	Professional		$222.30	$234.00	$292.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $280.80 / $526.50	Professional		$152.10	$280.80	$526.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $269.10 / $783.90	Facility		$142.22	$269.10	$783.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $269.10 / $368.30	Professional		$119.27	$269.10	$368.30
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $144.13	Professional		$98.28	$98.28	$144.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $234.00 / $315.89	Professional		$91.26	$234.00	$315.89