Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $89.13 / $229.09	Facility		$36.31	$89.13	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $63.10	Professional		$26.92	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $263.03	Facility		$57.54	$151.36	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $26.30 / $66.07	Professional		$5.01	$26.30	$66.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $95.50	Facility		$47.86	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.20 / $213.80	Facility		$40.74	$91.20	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $81.28	Professional		$22.39	$33.88	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $363.08	Professional		$288.40	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $109.65	Facility		$36.31	$56.23	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $36.31 / $60.26	Professional		$6.03	$36.31	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Professional		$40.74	$40.74	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $102.33	Professional		$46.77	$52.48	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $141.25	Facility		$36.31	$61.66	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $79.43	Professional		$22.39	$35.48	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $47.86	Facility		$17.38	$20.42	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Professional		$20.42	$20.42	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $47.86	Professional		$18.62	$40.74	$47.86