Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $63.48 / $684.00	Facility		$49.17	$63.48	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $72.02 / $245.12	Professional		$52.91	$72.02	$245.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $61.58 / $125.26	Professional		$57.33	$61.58	$125.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $78.52 / $136.88	Facility		$34.74	$78.52	$136.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $60.75 / $85.94	Professional		$38.17	$60.75	$85.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $77.22	Facility		$68.55	$68.55	$77.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $129.26 / $178.69	Facility		$45.61	$129.26	$178.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $81.42 / $151.82	Professional		$60.53	$81.42	$151.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $333.03 / $378.15	Facility		$161.77	$333.03	$378.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $484.57 / $601.65	Professional		$484.57	$484.57	$601.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $90.78 / $145.05	Facility		$61.46	$90.78	$145.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $106.74 / $284.64	Professional		$69.00	$106.74	$284.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $49.89 / $120.15	Professional		$24.62	$49.89	$120.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $91.04 / $175.81	Facility		$61.30	$91.04	$175.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $82.94 / $167.27	Professional		$61.30	$82.94	$167.27
United Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $84.63 / $125.85	Professional		$64.58	$84.63	$125.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $69.00 / $96.74	Professional		$60.73	$69.00	$96.74