Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $88.71 / $90.41	Facility		$87.00	$88.71	$90.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $90.41 / $127.05	Professional		$80.31	$90.41	$127.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $138.32 / $138.32	Professional		$138.32	$138.32	$138.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $92.72 / $116.00	Professional		$92.72	$92.72	$116.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $143.55 / $194.82	Facility		$143.55	$143.55	$194.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $804.59 / $955.70 / $955.70	Facility		$804.59	$955.70	$955.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,001.98 / $1,131.75	Professional		$1,001.98	$1,001.98	$1,131.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $132.13 / $194.82	Facility		$48.60	$132.13	$194.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $164.75 / $194.82	Professional		$48.60	$164.75	$194.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $214.30 / $438.35	Professional		$194.82	$214.30	$438.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $130.16 / $194.82	Facility		$48.60	$130.16	$194.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $104.26	Professional		$71.39	$71.39	$104.26
United Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $74.61 / $87.83	Facility		$57.84	$74.61	$87.83
United Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $90.72 / $108.00	Professional		$62.74	$90.72	$108.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $91.38 / $194.82	Professional		$90.41	$91.38	$194.82