Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.21 / $543.69 / $1,384.56	Facility		$195.21	$543.69	$1,384.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $203.75 / $349.63	Professional		$163.16	$203.75	$349.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $72.84 / $72.84	Professional		$72.84	$72.84	$72.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.89 / $710.92 / $1,485.94	Facility		$340.89	$710.92	$1,485.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $160.25 / $407.90	Professional		$5.00	$160.25	$407.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Facility		$291.36	$291.36	$291.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $640.10 / $1,289.95	Facility		$193.33	$640.10	$1,289.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $231.92 / $496.32	Professional		$147.04	$231.92	$496.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $544.91 / $1,383.96 / $1,383.96	Facility		$544.91	$1,383.96	$1,383.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,456.80 / $2,185.19	Professional		$1,456.80	$1,456.80	$2,185.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.73 / $291.36 / $437.04	Facility		$177.73	$291.36	$437.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.41 / $291.36 / $364.20	Professional		$275.41	$291.36	$364.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $349.63 / $655.56	Professional		$189.38	$349.63	$655.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.10 / $343.46 / $1,129.19	Facility		$195.10	$343.46	$1,129.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $335.06 / $496.32	Professional		$148.29	$335.06	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.56 / $175.08	Professional		$122.37	$122.56	$175.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $291.36 / $393.34	Professional		$113.63	$291.36	$393.34