Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $377.99 / $917.00	Facility		$91.93	$377.99	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $106.62 / $348.87	Professional		$74.84	$106.62	$348.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $256.51 / $326.33	Professional		$74.76	$256.51	$326.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $305.81 / $571.64	Facility		$118.87	$305.81	$571.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $288.47 / $439.43	Professional		$230.62	$288.47	$439.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $256.26 / $277.37 / $277.37	Facility		$256.26	$277.37	$277.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $314.06 / $527.35	Professional		$126.92	$314.06	$527.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.46 / $891.44 / $1,517.72	Facility		$535.46	$891.44	$1,517.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.87 / $1,429.87 / $2,356.05	Professional		$1,429.87	$1,429.87	$2,356.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.82 / $256.51 / $359.11	Facility		$88.82	$256.51	$359.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.98 / $378.59 / $502.98	Professional		$310.98	$378.59	$502.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.16 / $314.81 / $517.70	Professional		$247.16	$314.81	$517.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.82 / $256.51 / $362.88	Facility		$88.82	$256.51	$362.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $326.33 / $659.36	Professional		$135.99	$326.33	$659.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $83.63 / $149.57	Professional		$60.18	$83.63	$149.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $256.51 / $367.48	Professional		$230.80	$256.51	$367.48