Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $173.66 / $747.39	Facility		$79.41	$173.66	$747.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $93.39 / $172.09	Professional		$72.34	$93.39	$172.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $103.77 / $103.77	Professional		$94.10	$103.77	$103.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.80 / $294.33 / $523.83	Facility		$120.80	$294.33	$523.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $152.28 / $193.05	Professional		$105.67	$152.28	$193.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.87 / $105.41 / $108.83	Facility		$102.87	$105.41	$108.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $414.52 / $642.37	Facility		$133.88	$414.52	$642.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $125.16 / $208.18	Professional		$91.78	$125.16	$208.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $496.55 / $544.97	Facility		$251.53	$496.55	$544.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $1,846.00 / $1,846.00	Professional		$1,846.00	$1,846.00	$1,846.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $130.51 / $233.79	Facility		$103.07	$130.51	$233.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $175.07 / $239.84	Professional		$103.77	$175.07	$239.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $138.46 / $217.66	Professional		$107.45	$138.46	$217.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.77 / $134.90 / $338.00	Facility		$103.77	$134.90	$338.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $125.16 / $217.60	Professional		$91.78	$125.16	$217.60
United Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $127.42 / $184.01	Professional		$94.79	$127.42	$184.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $103.77 / $143.84	Professional		$90.55	$103.77	$143.84