Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $172.01 / $742.57	Facility		$78.64	$172.01	$742.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $94.10 / $223.40	Professional		$71.67	$94.10	$223.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $111.72 / $170.93	Professional		$72.40	$111.72	$170.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $151.33 / $198.32	Professional		$88.81	$151.33	$198.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $105.05 / $109.16	Facility		$102.60	$105.05	$109.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $377.71 / $582.82	Facility		$122.00	$377.71	$582.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $121.75 / $199.20	Professional		$89.51	$121.75	$199.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.04 / $496.55 / $547.05	Facility		$246.04	$496.55	$547.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $664.64 / $664.64 / $902.48	Professional		$664.64	$664.64	$902.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.17 / $116.72 / $203.43	Facility		$93.17	$116.72	$203.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $175.07 / $348.75	Professional		$103.42	$175.07	$348.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $137.94 / $217.15	Professional		$107.60	$137.94	$217.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $121.83 / $244.59	Facility		$96.71	$121.83	$244.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $123.58 / $209.92	Professional		$89.51	$123.58	$209.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $117.35 / $179.83	Professional		$87.62	$117.35	$179.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $103.42 / $143.63	Professional		$90.55	$103.42	$143.63