Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $114.41 / $493.08	Facility		$52.40	$114.41	$493.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $64.56 / $118.75	Professional		$47.67	$64.56	$118.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $73.80	Professional		$67.09	$67.09	$73.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $194.61 / $347.51	Facility		$80.14	$194.61	$347.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $98.72 / $123.82	Professional		$58.46	$98.72	$123.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $68.64 / $71.37	Facility		$66.51	$68.64	$71.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $276.08 / $427.53	Facility		$89.18	$276.08	$427.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $80.59 / $138.49	Professional		$60.28	$80.59	$138.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $370.00 / $370.00	Facility		$163.44	$370.00	$370.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.00 / $1,410.00 / $1,410.00	Professional		$1,410.00	$1,410.00	$1,410.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $86.60 / $155.10	Facility		$67.09	$86.60	$155.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $113.14 / $274.27	Professional		$67.09	$113.14	$274.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $89.66 / $140.85	Professional		$70.03	$89.66	$140.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.01 / $89.90 / $237.36	Facility		$68.01	$89.90	$237.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $82.46 / $143.21	Professional		$60.67	$82.46	$143.21
United Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Facility		$94.64	$94.64	$94.64
United Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $84.66 / $121.47	Professional		$62.60	$84.66	$121.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $67.09 / $93.11	Professional		$58.52	$67.09	$93.11