Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $203.64 / $535.83	Facility		$80.76	$203.64	$535.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $80.76 / $139.94	Professional		$61.11	$80.76	$139.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $65.48 / $65.48	Professional		$65.48	$65.48	$65.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $348.12 / $591.48	Facility		$134.12	$348.12	$591.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $66.69 / $152.78	Professional		$5.00	$66.69	$152.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $109.13 / $109.13	Facility		$80.00	$109.13	$109.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $253.80 / $551.34	Facility		$98.64	$253.80	$551.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $103.66 / $216.00	Professional		$56.09	$103.66	$216.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.37 / $518.37 / $518.37	Facility		$267.37	$518.37	$518.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $545.65 / $545.65 / $818.48	Professional		$545.65	$545.65	$818.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $109.13 / $185.86	Facility		$68.75	$109.13	$185.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $109.13 / $136.41	Professional		$103.67	$109.13	$136.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $130.96 / $245.54	Professional		$70.93	$130.96	$245.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $134.21 / $471.11	Facility		$80.76	$134.21	$471.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $125.50 / $198.19	Professional		$56.09	$125.50	$198.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $62.53 / $80.84	Professional		$45.83	$62.53	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $109.13 / $147.33	Professional		$42.56	$109.13	$147.33