Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $198.84 / $670.97	Facility		$84.98	$198.84	$670.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $106.17 / $292.12	Professional		$71.75	$106.17	$292.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $47.21	Professional		$15.00	$15.00	$47.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $236.02 / $403.13	Facility		$104.94	$236.02	$403.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $51.93 / $132.16	Professional		$5.00	$51.93	$132.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Facility		$94.41	$94.41	$94.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.21 / $334.00 / $579.95	Facility		$135.21	$334.00	$579.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $77.98 / $196.70	Professional		$69.20	$77.98	$196.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.27 / $448.45 / $448.45	Facility		$164.27	$448.45	$448.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $708.08 / $819.00 / $819.00	Professional		$708.08	$819.00	$819.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $109.01 / $169.40	Facility		$84.26	$109.01	$169.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $96.30 / $170.88	Professional		$94.41	$96.30	$170.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $165.22 / $361.59	Professional		$113.29	$165.22	$361.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $123.53 / $408.45	Facility		$93.07	$123.53	$408.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $94.41 / $196.70	Professional		$69.20	$94.41	$196.70
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $39.65 / $57.24	Professional		$38.54	$39.65	$57.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $94.41 / $127.45	Professional		$37.76	$94.41	$127.45