Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $272.64 / $448.44	Facility		$16.32	$272.64	$448.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $159.31 / $407.97	Professional		$20.17	$159.31	$407.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $49.05 / $49.05	Professional		$49.05	$49.05	$49.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $72.40 / $512.82	Facility		$25.77	$72.40	$512.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $270.26 / $498.35	Professional		$19.64	$270.26	$498.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $467.07 / $467.07	Facility		$18.43	$467.07	$467.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $217.69 / $487.37	Professional		$21.24	$217.69	$487.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $102.13 / $102.13	Facility		$95.38	$102.13	$102.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $2,483.07 / $2,821.80	Professional		$137.34	$2,483.07	$2,821.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $46.35 / $443.84	Facility		$20.07	$46.35	$443.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $40.76 / $601.04	Professional		$25.48	$40.76	$601.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.97 / $349.26	Professional		$18.34	$19.97	$349.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $48.06 / $443.84	Facility		$20.07	$48.06	$443.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $217.69 / $556.64	Professional		$22.19	$217.69	$556.64
United Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $274.27 / $326.94	Professional		$37.34	$274.27	$326.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $306.08 / $428.51	Professional		$275.79	$306.08	$428.51