Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $96.48 / $115.96	Facility		$73.12	$96.48	$115.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $103.44 / $147.07	Professional		$88.73	$103.44	$147.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $96.63 / $102.84	Professional		$89.87	$96.63	$102.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $104.80 / $158.63	Professional		$87.03	$104.80	$158.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $87.74 / $95.68	Facility		$87.74	$87.74	$95.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $650.00 / $1,452.00	Facility		$375.00	$650.00	$1,452.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $129.13 / $219.34	Professional		$99.37	$129.13	$219.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $2,256.91 / $2,256.91	Facility		$237.78	$2,256.91	$2,256.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.82 / $1,356.40 / $1,356.40	Professional		$1,079.82	$1,356.40	$1,356.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $125.90 / $220.57	Facility		$96.23	$125.90	$220.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $142.58 / $182.89	Professional		$108.16	$142.58	$182.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $119.50 / $197.16	Professional		$88.45	$119.50	$197.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $128.91 / $257.43	Facility		$96.48	$128.91	$257.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $142.15 / $255.51	Professional		$101.15	$142.15	$255.51
United Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $110.59 / $170.52	Professional		$83.05	$110.59	$170.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $98.62 / $135.28	Professional		$80.31	$98.62	$135.28