Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.93 / $650.42 / $1,656.36	Facility		$257.93	$650.42	$1,656.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $257.93 / $418.27	Professional		$195.19	$257.93	$418.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $174.28 / $174.28	Professional		$174.28	$174.28	$174.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.82 / $1,045.68 / $1,826.45	Facility		$407.82	$1,045.68	$1,826.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $191.71 / $487.98	Professional		$5.00	$191.71	$487.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $345.07 / $345.07 / $348.56	Facility		$345.07	$345.07	$348.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.72 / $797.13 / $1,553.61	Facility		$261.72	$797.13	$1,553.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $307.61 / $593.58	Professional		$176.56	$307.61	$593.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $704.89 / $1,655.66 / $1,655.66	Facility		$704.89	$1,655.66	$1,655.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.80 / $1,742.80 / $2,614.19	Professional		$1,742.80	$1,742.80	$2,614.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $348.56 / $557.70	Facility		$219.59	$348.56	$557.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $348.56 / $435.70	Professional		$331.13	$348.56	$435.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $418.27 / $784.26	Professional		$226.56	$418.27	$784.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $418.27 / $1,463.61	Facility		$243.99	$418.27	$1,463.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $400.84 / $593.58	Professional		$177.80	$400.84	$593.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $348.56 / $476.64	Facility		$165.92	$348.56	$476.64
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $165.92 / $237.02	Professional		$146.40	$165.92	$237.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $348.56 / $470.56	Professional		$135.94	$348.56	$470.56