Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $55.98 / $66.04	Facility		$51.63	$55.98	$66.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $58.68 / $76.52	Professional		$46.28	$58.68	$76.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $62.20 / $62.20	Professional		$52.87	$62.20	$62.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $52.74 / $78.47	Professional		$40.04	$52.74	$78.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $74.73 / $119.40	Professional		$54.01	$74.73	$119.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $776.56 / $776.56	Facility		$284.58	$776.56	$776.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,114.04 / $1,114.04	Professional		$1,114.04	$1,114.04	$1,114.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $68.09 / $93.29	Facility		$52.94	$68.09	$93.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $82.42 / $121.52	Professional		$69.73	$82.42	$121.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $63.67 / $84.00	Professional		$50.07	$63.67	$84.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $68.42 / $93.29	Facility		$52.90	$68.42	$93.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $79.37 / $156.12	Professional		$55.54	$79.37	$156.12
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $66.77 / $96.31	Professional		$52.71	$66.77	$96.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $63.60 / $87.08	Professional		$54.11	$63.60	$87.08