Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,128.00 / $7,513.00	Facility		$405.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $133.29 / $204.42	Professional		$63.63	$133.29	$204.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $139.75 / $154.02	Professional		$132.40	$139.75	$154.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $480.51 / $873.65	Facility		$207.93	$480.51	$873.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $131.77 / $233.26	Professional		$64.06	$131.77	$233.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $54.06 / $139.34	Facility		$46.04	$54.06	$139.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $182.00 / $323.00	Facility		$66.95	$182.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $143.81 / $261.92	Professional		$67.23	$143.81	$261.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $293.27 / $293.27	Facility		$289.01	$293.27	$293.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.00 / $1,242.00 / $1,261.28	Professional		$1,242.00	$1,242.00	$1,261.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $153.52 / $233.03	Facility		$63.41	$153.52	$233.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $111.92 / $271.95	Professional		$69.95	$111.92	$271.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $128.29 / $176.45	Professional		$48.10	$128.29	$176.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.63 / $153.84 / $233.03	Facility		$63.63	$153.84	$233.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $148.54 / $270.70	Professional		$69.38	$148.54	$270.70
United Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $182.25 / $260.25	Professional		$137.58	$182.25	$260.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $139.75 / $195.65	Professional		$124.79	$139.75	$195.65