Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.50 / $515.29 / $1,813.82	Facility		$250.50	$515.29	$1,813.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $286.27 / $572.54	Professional		$190.85	$286.27	$572.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $95.43 / $95.43	Professional		$95.43	$95.43	$95.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.05 / $1,095.48 / $2,000.11	Facility		$416.05	$1,095.48	$2,000.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $209.94 / $374.07	Professional		$5.00	$209.94	$374.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $381.70 / $381.70	Facility		$381.70	$381.70	$381.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $689.75 / $1,624.83	Facility		$104.68	$689.75	$1,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $288.36 / $600.95	Professional		$170.04	$288.36	$600.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.72 / $1,813.08 / $1,813.08	Facility		$610.72	$1,813.08	$1,813.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.50 / $1,908.50 / $2,862.75	Professional		$1,908.50	$1,908.50	$2,862.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $381.70 / $572.54	Facility		$213.80	$381.70	$572.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.62 / $381.70 / $477.13	Professional		$362.62	$381.70	$477.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.10 / $458.04 / $858.83	Professional		$248.10	$458.04	$858.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $403.92 / $1,153.08	Facility		$179.02	$403.92	$1,153.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $419.87 / $600.95	Professional		$160.05	$419.87	$600.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $160.31 / $229.02	Professional		$63.62	$160.31	$229.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $381.70 / $515.29	Professional		$148.86	$381.70	$515.29