Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $57.56 / $252.83	Facility		$24.37	$57.56	$252.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $56.48 / $86.34	Professional		$24.37	$56.48	$86.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $36.15 / $85.41	Facility		$26.48	$36.15	$85.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $54.56 / $104.58	Professional		$21.42	$54.56	$104.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.27 / $105.02	Facility		$24.11	$24.27	$105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $56.42	Facility		$42.21	$42.21	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $73.84 / $127.08	Professional		$28.44	$73.84	$127.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $125.07 / $125.07	Facility		$116.58	$125.07	$125.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $208.88 / $703.88	Professional		$167.46	$208.88	$703.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $57.61 / $106.59	Facility		$24.88	$57.61	$106.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $93.74 / $146.72	Professional		$31.14	$93.74	$146.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $195.30 / $195.30	Professional		$154.30	$195.30	$195.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $57.61 / $106.96	Facility		$24.88	$57.61	$106.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $77.34 / $148.12	Professional		$29.56	$77.34	$148.12
United Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $81.25 / $130.19	Professional		$58.73	$81.25	$130.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $81.45 / $110.69	Professional		$69.56	$81.45	$110.69