Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.16 / $486.62 / $1,349.74	Facility		$197.16	$486.62	$1,349.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $192.98 / $405.67	Professional		$146.04	$192.98	$405.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $156.47 / $156.47	Professional		$156.47	$156.47	$156.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.51 / $821.49 / $1,436.95	Facility		$320.51	$821.49	$1,436.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $260.79 / $365.11	Professional		$5.00	$260.79	$365.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $260.79 / $260.79	Facility		$80.00	$260.79	$260.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.72 / $606.45 / $1,318.16	Facility		$235.72	$606.45	$1,318.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $247.88 / $516.00	Professional		$134.25	$247.88	$516.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $564.04 / $1,238.75 / $1,238.75	Facility		$564.04	$1,238.75	$1,238.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,955.93	Professional		$1,303.95	$1,303.95	$1,955.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.08 / $260.79 / $444.12	Facility		$159.08	$260.79	$444.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $260.79 / $391.19	Professional		$260.79	$260.79	$391.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $312.95 / $586.78	Professional		$169.51	$312.95	$586.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.55 / $320.27 / $1,127.70	Facility		$182.55	$320.27	$1,127.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $299.91 / $474.39	Professional		$147.80	$299.91	$474.39
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $149.43 / $213.14	Professional		$109.53	$149.43	$213.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $260.79 / $352.07	Professional		$101.71	$260.79	$352.07