Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $330.75 / $896.67	Facility		$131.16	$330.75	$896.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $131.59 / $227.30	Professional		$99.26	$131.59	$227.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $106.35 / $106.35	Professional		$106.35	$106.35	$106.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.84 / $565.42 / $976.65	Facility		$217.84	$565.42	$976.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $97.49 / $248.15	Professional		$5.00	$97.49	$248.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $177.25 / $177.25	Facility		$80.00	$177.25	$177.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $412.19 / $895.08	Facility		$160.19	$412.19	$895.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $168.37 / $351.00	Professional		$91.16	$168.37	$351.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $434.26 / $841.94 / $841.94	Facility		$434.26	$841.94	$841.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.25 / $886.25 / $1,329.38	Professional		$886.25	$886.25	$1,329.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $177.25 / $301.86	Facility		$111.67	$177.25	$301.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $177.25 / $221.56	Professional		$168.39	$177.25	$221.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $212.70 / $398.81	Professional		$115.21	$212.70	$398.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $217.99 / $765.74	Facility		$132.94	$217.99	$765.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $203.84 / $322.13	Professional		$94.53	$203.84	$322.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $101.56 / $144.87	Professional		$74.45	$101.56	$144.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $177.25 / $239.29	Professional		$69.13	$177.25	$239.29