Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $204.17	Facility		$154.88	$186.21	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $295.12	Professional		$186.21	$213.80	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $245.47	Professional		$181.97	$208.93	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $331.13	Professional		$181.97	$239.88	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $213.80	Facility		$173.78	$190.55	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $436.52	Professional		$199.53	$269.15	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $389.05	Facility		$181.97	$223.87	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $151.36 / $169.82	Professional		$32.36	$151.36	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $794.33	Professional		$190.55	$407.38	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $380.19	Facility		$181.97	$223.87	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $478.63	Professional		$199.53	$275.42	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $363.08	Professional		$173.78	$229.09	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $263.03	Professional		$154.88	$223.87	$263.03