Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $213.80 / $549.54	Facility		$87.10	$213.80	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $165.96	Professional		$70.79	$93.33	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $389.05 / $691.83	Facility		$154.88	$389.05	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $63.10 / $158.49	Professional		$5.01	$63.10	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $123.03	Facility		$114.82	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $239.88 / $588.84	Facility		$104.71	$239.88	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $234.42	Professional		$33.88	$81.28	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $870.96	Professional		$645.65	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $213.80	Facility		$87.10	$114.82	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $93.33 / $144.54	Professional		$7.94	$93.33	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $97.72 / $112.20	Professional		$33.11	$97.72	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $245.47	Professional		$114.82	$125.89	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $316.23	Facility		$87.10	$123.03	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $194.98	Professional		$48.98	$83.18	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $114.82	Facility		$41.69	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $114.82	Professional		$48.98	$69.18	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $114.82	Professional		$44.67	$97.72	$114.82