Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $49.13 / $74.56	Facility		$41.75	$49.13	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $47.40 / $61.97	Professional		$40.35	$47.40	$61.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $61.11	Professional		$56.17	$56.17	$61.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $49.75 / $60.14	Professional		$39.71	$49.75	$60.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $46.54 / $61.81	Facility		$43.33	$46.54	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $61.81 / $97.62	Professional		$45.47	$61.81	$97.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $243.53 / $243.53	Facility		$224.03	$243.53	$243.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $320.01 / $376.47	Professional		$320.01	$320.01	$376.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $50.09 / $65.79	Facility		$40.45	$50.09	$65.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $73.23 / $95.01	Professional		$52.66	$73.23	$95.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $69.43	Professional		$57.71	$57.71	$69.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $50.05 / $64.93	Facility		$40.35	$50.05	$64.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $63.83 / $106.01	Professional		$47.51	$63.83	$106.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $65.54 / $98.45	Professional		$47.91	$65.54	$98.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $56.17 / $78.11	Professional		$49.14	$56.17	$78.11