Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $105.08	Facility		$87.57	$87.57	$105.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Professional		$87.57	$87.57	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $99.09 / $99.09	Professional		$99.09	$99.09	$99.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $207.36 / $207.36	Professional		$176.26	$207.36	$207.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $285.29 / $512.00	Professional		$107.80	$285.29	$512.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Facility		$491.00	$491.00	$491.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $614.00 / $614.00	Professional		$547.20	$614.00	$614.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Facility		$87.57	$87.57	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $328.50 / $328.50	Professional		$300.00	$328.50	$328.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Facility		$87.57	$87.57	$400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $154.00 / $512.00	Professional		$107.80	$154.00	$512.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $367.00 / $367.00	Professional		$100.25	$367.00	$367.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $95.82	Professional		$68.44	$68.44	$95.82