Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $65.09 / $106.01	Professional		$54.30	$65.09	$106.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $125.10 / $134.72	Professional		$52.94	$125.10	$134.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $83.24 / $92.43	Facility		$72.55	$83.24	$92.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $54.53 / $170.59	Professional		$43.95	$54.53	$170.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $438.47 / $438.47	Facility		$137.78	$438.47	$438.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $594.52 / $781.80	Professional		$557.60	$594.52	$781.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $90.01 / $147.02	Facility		$54.71	$90.01	$147.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $137.15 / $212.43	Professional		$108.89	$137.15	$212.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $109.88 / $117.67	Professional		$91.66	$109.88	$117.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $88.49 / $155.29	Facility		$54.71	$88.49	$155.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $77.22 / $216.06	Professional		$43.98	$77.22	$216.06
United Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $63.44 / $201.38	Professional		$59.93	$63.44	$201.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $49.26 / $93.06	Professional		$38.61	$49.26	$93.06