Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $534.04 / $1,496.62	Facility		$201.18	$534.04	$1,496.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.69 / $213.37 / $365.77	Professional		$170.69	$213.37	$365.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $152.41 / $152.41	Professional		$152.41	$152.41	$152.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.19 / $938.81 / $1,597.20	Facility		$329.19	$938.81	$1,597.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $161.55 / $304.81	Professional		$5.00	$161.55	$304.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $304.81 / $304.81	Facility		$80.00	$304.81	$304.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $697.58 / $1,348.42	Facility		$279.02	$697.58	$1,348.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $289.41 / $479.99	Professional		$154.49	$289.41	$479.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $487.70 / $1,447.85 / $1,447.85	Facility		$487.70	$1,447.85	$1,447.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.05 / $1,524.05 / $2,286.08	Professional		$1,524.05	$1,524.05	$2,286.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.93 / $304.81 / $457.22	Facility		$185.93	$304.81	$457.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.57 / $304.81 / $381.01	Professional		$289.57	$304.81	$381.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $365.77 / $685.82	Professional		$198.13	$365.77	$685.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.05 / $350.53 / $1,154.34	Facility		$207.05	$350.53	$1,154.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $350.53 / $479.99	Professional		$155.53	$350.53	$479.99
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $128.02 / $304.81	Professional		$128.02	$128.02	$304.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $304.81 / $411.49	Professional		$118.88	$304.81	$411.49