Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $80.55 / $82.10	Facility		$79.00	$80.55	$82.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $82.10 / $116.18	Professional		$69.70	$82.10	$116.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Professional		$125.60	$125.60	$125.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $105.33 / $105.33	Professional		$84.19	$105.33	$105.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $176.90 / $176.90	Facility		$176.90	$176.90	$176.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $448.96 / $729.99 / $840.28	Facility		$448.96	$729.99	$840.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.30 / $1,453.37 / $1,453.37	Professional		$1,419.30	$1,453.37	$1,453.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $118.20 / $176.90	Facility		$42.73	$118.20	$176.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $149.59 / $176.90	Professional		$42.73	$149.59	$176.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $194.59 / $398.02	Professional		$176.90	$194.59	$398.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $118.20 / $176.90	Facility		$42.73	$118.20	$176.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $110.32	Professional		$77.54	$77.54	$110.32
United Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $65.59 / $75.06	Facility		$49.98	$65.59	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $79.76 / $94.95	Professional		$55.16	$79.76	$94.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.48 / $176.90	Professional		$79.14	$79.48	$176.90