Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $3,511.00 / $10,893.00	Facility		$76.98	$3,511.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $67.06 / $119.21	Professional		$10.55	$67.06	$119.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $82.28	Professional		$77.36	$77.36	$82.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $39.72 / $198.79	Facility		$23.79	$39.72	$198.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $91.07 / $107.14	Professional		$10.77	$91.07	$107.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $36.63 / $99.08	Facility		$13.78	$36.63	$99.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $197.04 / $305.86	Facility		$197.04	$197.04	$305.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.17 / $813.12 / $835.65	Professional		$437.17	$813.12	$835.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $80.28 / $129.41	Facility		$14.06	$80.28	$129.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $27.82 / $178.10	Professional		$17.39	$27.82	$178.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $88.96 / $179.32	Professional		$15.08	$88.96	$179.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $80.28 / $129.41	Facility		$14.00	$80.28	$129.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $108.00	Professional		$88.09	$88.09	$108.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $107.04 / $155.75	Professional		$79.38	$107.04	$155.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $91.01 / $127.41	Professional		$81.72	$91.01	$127.41