Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $91.20 / $741.31	Facility		$32.36	$91.20	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $141.25	Professional		$31.62	$79.43	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $125.89	Professional		$91.20	$107.15	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $436.52	Facility		$67.61	$120.23	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $70.79 / $117.49	Professional		$31.62	$70.79	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $91.20	Facility		$29.51	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $95.50 / $208.93	Professional		$38.02	$95.50	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $363.08	Facility		$54.95	$56.23	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $83.18 / $169.82	Facility		$32.36	$83.18	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $169.82	Professional		$33.11	$79.43	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $77.62	Professional		$27.54	$33.11	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.11 / $190.55	Facility		$32.36	$85.11	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $208.93	Professional		$38.02	$91.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $165.96	Professional		$31.62	$74.13	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $97.72	Professional		$93.33	$97.72	$97.72