Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $354.61 / $993.78	Facility		$133.58	$354.61	$993.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $141.68 / $242.88	Professional		$113.34	$141.68	$242.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Professional		$121.44	$121.44	$121.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.75 / $493.86 / $1,042.35	Facility		$248.75	$493.86	$1,042.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $135.61 / $283.36	Professional		$5.00	$135.61	$283.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $202.40 / $202.40	Facility		$80.00	$202.40	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.82 / $441.64 / $901.37	Facility		$134.82	$441.64	$901.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $113.34 / $316.13	Professional		$92.16	$113.34	$316.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $961.40 / $961.40	Facility		$323.83	$961.40	$961.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $202.40 / $303.60	Facility		$127.51	$202.40	$303.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $253.00	Professional		$202.40	$202.40	$253.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $242.88 / $455.40	Professional		$131.56	$242.88	$455.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $217.07 / $678.04	Facility		$137.47	$217.07	$678.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $191.35 / $307.45	Professional		$93.18	$191.35	$307.45
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $129.54	Professional		$85.01	$85.01	$129.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $202.40 / $273.24	Professional		$78.94	$202.40	$273.24