Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $357.00 / $357.00	Facility		$357.00	$357.00	$357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $57.45 / $68.54	Professional		$48.22	$57.45	$68.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $90.00 / $120.00	Professional		$52.00	$90.00	$120.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $71.53 / $71.53	Professional		$71.53	$71.53	$71.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $105.00	Facility		$60.00	$60.00	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $60.00	Facility		$46.00	$46.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Professional		$14.25	$14.25	$14.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Professional		$52.61	$52.61	$52.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $57.45 / $62.05	Facility		$49.28	$57.45	$62.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $79.61 / $130.02	Professional		$69.91	$79.61	$130.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.83 / $57.45 / $62.05	Facility		$48.83	$57.45	$62.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Professional		$14.25	$14.25	$14.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $62.10 / $83.84	Professional		$49.00	$62.10	$83.84