Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $96.41 / $119.70	Facility		$79.75	$96.41	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $107.82 / $144.12	Professional		$96.31	$107.82	$144.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $120.75 / $126.00	Professional		$102.19	$120.75	$126.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $97.88 / $185.80	Facility		$40.24	$97.88	$185.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $112.35 / $168.64	Professional		$89.98	$112.35	$168.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $87.47 / $105.31	Facility		$87.47	$87.47	$105.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $138.65 / $214.25	Professional		$104.65	$138.65	$214.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $519.22 / $519.22	Facility		$240.67	$519.22	$519.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $662.29 / $662.29 / $861.53	Professional		$662.29	$662.29	$861.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $109.23 / $172.39	Facility		$94.50	$109.23	$172.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $155.88 / $189.52	Professional		$119.52	$155.88	$189.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $114.71 / $178.36	Professional		$95.76	$114.71	$178.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $109.23 / $172.39	Facility		$94.50	$109.23	$172.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $149.77 / $264.80	Professional		$105.00	$149.77	$264.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $120.89 / $194.67	Professional		$89.98	$120.89	$194.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $102.02 / $137.96	Professional		$86.96	$102.02	$137.96