Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $280.43 / $737.92	Facility		$111.21	$280.43	$737.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $111.58 / $230.28	Professional		$90.17	$111.58	$230.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $90.17 / $90.17	Professional		$90.17	$90.17	$90.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $485.44 / $900.24	Facility		$185.54	$485.44	$900.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $82.66 / $210.41	Professional		$5.00	$82.66	$210.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $150.29 / $150.29	Facility		$80.00	$150.29	$150.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.14 / $344.92 / $797.61	Facility		$172.14	$344.92	$797.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $111.69 / $331.09	Professional		$85.22	$111.69	$331.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.21 / $717.06 / $724.00	Facility		$368.21	$717.06	$724.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.00 / $1,249.00 / $1,249.00	Professional		$1,249.00	$1,249.00	$1,249.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $223.48 / $376.69	Facility		$123.36	$223.48	$376.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $150.29 / $208.45	Professional		$150.29	$150.29	$208.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $180.35 / $338.15	Professional		$97.69	$180.35	$338.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $241.94 / $555.65	Facility		$123.36	$241.94	$555.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $149.01 / $308.36	Professional		$86.95	$149.01	$308.36
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $125.36 / $297.27	Professional		$90.17	$125.36	$297.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $85.14 / $150.29	Professional		$77.84	$85.14	$150.29