Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $121.74 / $308.61	Professional		$84.17	$121.74	$308.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $90.18 / $90.18	Professional		$90.18	$90.18	$90.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $147.29 / $199.90	Facility		$133.77	$147.29	$199.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $100.70 / $210.42	Professional		$5.00	$100.70	$210.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $150.30 / $150.30	Facility		$80.00	$150.30	$150.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $119.71 / $324.55	Professional		$83.38	$119.71	$324.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.75 / $713.93 / $713.93	Facility		$483.75	$713.93	$713.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.25 / $1,210.74 / $1,210.74	Professional		$1,127.25	$1,210.74	$1,210.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $225.45 / $360.05	Facility		$135.27	$225.45	$360.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $150.30 / $187.88	Professional		$150.30	$150.30	$187.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $180.36 / $338.18	Professional		$97.69	$180.36	$338.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.76 / $225.70 / $369.09	Facility		$127.76	$225.70	$369.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $168.82 / $308.92	Professional		$83.38	$168.82	$308.92
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $122.84 / $330.66	Professional		$90.18	$122.84	$330.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $83.43 / $150.30	Professional		$58.62	$83.43	$150.30