Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $386.85 / $1,017.89	Facility		$153.41	$386.85	$1,017.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $153.41 / $265.86	Professional		$116.09	$153.41	$265.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $124.39	Professional		$124.39	$124.39	$124.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.78 / $661.32 / $1,123.61	Facility		$254.78	$661.32	$1,123.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $186.58 / $290.23	Professional		$5.00	$186.58	$290.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $203.16 / $203.16 / $207.31	Facility		$203.16	$203.16	$207.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.36 / $482.13 / $1,047.14	Facility		$187.36	$482.13	$1,047.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $197.02 / $410.00	Professional		$106.65	$197.02	$410.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $448.39 / $984.72 / $984.72	Facility		$448.39	$984.72	$984.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.55 / $1,036.55 / $1,554.83	Professional		$1,036.55	$1,036.55	$1,554.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $207.31 / $353.07	Facility		$130.61	$207.31	$353.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $207.31 / $259.14	Professional		$196.94	$207.31	$259.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $248.77 / $466.45	Professional		$134.75	$248.77	$466.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $254.72 / $895.86	Facility		$145.12	$254.72	$895.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $238.41 / $376.87	Professional		$106.65	$238.41	$376.87
United Facility/Professional Facility Modifier Low / Median / High Price $118.79 / $207.31 / $248.77	Facility		$118.79	$207.31	$248.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $118.79 / $163.66	Professional		$87.07	$118.79	$163.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $107.39 / $207.31	Professional		$102.38	$107.39	$207.31