Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $794.33	Facility		$33.88	$107.15	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $177.83	Professional		$38.90	$107.15	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $147.91	Professional		$46.77	$46.77	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $218.78	Facility		$52.48	$117.49	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $93.33 / $173.78	Professional		$38.02	$93.33	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $117.49 / $128.82	Facility		$35.48	$117.49	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $234.42	Facility		$41.69	$66.07	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $123.03 / $239.88	Professional		$43.65	$123.03	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.23 / $257.04	Facility		$40.74	$120.23	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $194.98	Professional		$38.90	$107.15	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $213.80 / $354.81	Professional		$44.67	$213.80	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $269.15	Facility		$41.69	$123.03	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $117.49 / $245.47	Professional		$43.65	$117.49	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $691.83	Facility		$501.19	$524.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $95.50 / $199.53	Professional		$38.90	$95.50	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $128.82 / $144.54	Professional		$31.62	$128.82	$144.54