Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $141.25	Facility		$87.10	$89.13	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $338.84	Professional		$77.62	$97.72	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $93.33	Professional		$75.86	$87.10	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $562.34	Facility		$131.83	$309.03	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $89.13	Professional		$66.07	$79.43	$89.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $213.80	Professional		$77.62	$123.03	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $676.08 / $676.08	Professional		$128.82	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $204.17	Facility		$81.28	$123.03	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $223.87	Professional		$79.43	$104.71	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $208.93	Professional		$125.89	$169.82	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $208.93	Facility		$81.28	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $218.78	Professional		$79.43	$125.89	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $181.97	Professional		$85.11	$117.49	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $112.20	Professional		$89.13	$93.33	$112.20