Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,187.76 / $6,918.31	Facility		$512.86	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $162.18	Professional		$51.29	$95.50	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $102.33	Professional		$21.88	$45.71	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $501.19	Facility		$70.79	$117.49	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $120.23	Professional		$48.98	$83.18	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $346.74 / $346.74	Facility		$46.77	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $107.15	Facility		$77.62	$87.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $218.78	Professional		$56.23	$107.15	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $794.33	Professional		$758.58	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $295.12	Facility		$53.70	$104.71	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $165.96	Professional		$51.29	$95.50	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $263.03	Professional		$125.89	$199.53	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $186.21	Facility		$53.70	$102.33	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $229.09	Professional		$56.23	$109.65	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,073.80	Facility		$416.87	$1,621.81	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $151.36	Professional		$50.12	$87.10	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $102.33	Professional		$40.74	$91.20	$102.33