Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $156.78 / $233.52	Facility		$131.02	$156.78	$233.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $156.78 / $217.30	Professional		$93.06	$156.78	$217.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $89.04 / $89.04	Professional		$89.04	$89.04	$89.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $696.02 / $1,285.75	Facility		$296.08	$696.02	$1,285.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $422.35 / $496.88	Professional		$49.69	$422.35	$496.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $230.50 / $359.38	Facility		$139.16	$230.50	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $199.30 / $337.27	Professional		$142.40	$199.30	$337.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $403.45 / $744.78 / $871.09	Facility		$403.45	$744.78	$871.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $999.25 / $1,109.75 / $1,625.70	Professional		$999.25	$1,109.75	$1,625.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $151.63 / $259.45	Facility		$98.72	$151.63	$259.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $103.65 / $198.24	Professional		$103.65	$103.65	$198.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.15 / $1,335.49 / $1,877.22	Professional		$1,120.15	$1,335.49	$1,877.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $157.81 / $274.98	Facility		$101.33	$157.81	$274.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $211.31 / $360.13	Professional		$150.00	$211.31	$360.13
United Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $145.76 / $343.99	Professional		$80.08	$145.76	$343.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $129.56 / $546.97	Professional		$103.65	$129.56	$546.97