Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $471.04 / $1,256.10	Facility		$195.61	$471.04	$1,256.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $195.61 / $370.08	Professional		$148.03	$195.61	$370.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $132.16	Professional		$132.16	$132.16	$132.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.42 / $652.91 / $1,385.14	Facility		$325.42	$652.91	$1,385.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $145.38 / $370.08	Professional		$5.00	$145.38	$370.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $264.33 / $264.33	Facility		$80.00	$264.33	$264.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $565.29 / $1,177.66	Facility		$206.70	$565.29	$1,177.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $167.72 / $416.25	Professional		$117.73	$167.72	$416.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $459.95 / $1,255.61 / $1,255.61	Facility		$459.95	$1,255.61	$1,255.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.34 / $1,453.34 / $1,982.55	Professional		$1,453.34	$1,453.34	$1,982.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.68 / $301.39 / $450.17	Facility		$211.68	$301.39	$450.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $264.33 / $330.43	Professional		$249.74	$264.33	$330.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.82 / $317.20 / $594.76	Professional		$171.82	$317.20	$594.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.66 / $324.66 / $862.53	Facility		$209.66	$324.66	$862.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $249.74 / $416.25	Professional		$120.31	$249.74	$416.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $158.60 / $475.81	Professional		$144.46	$158.60	$475.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $136.93 / $264.33	Professional		$105.74	$136.93	$264.33