Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $101.94	Facility		$84.95	$84.95	$101.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $84.95 / $118.93	Professional		$80.70	$84.95	$118.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $40.00 / $40.50	Professional		$36.00	$40.00	$40.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.89 / $749.91 / $936.17	Facility		$303.89	$749.91	$936.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $124.63 / $124.63	Professional		$105.94	$124.63	$124.63
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 $84.00 / $246.71 / $261.05	Professional		$84.00	$246.71	$261.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $451.00 / $474.40	Professional		$451.00	$451.00	$474.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.95 / $191.14	Facility		$84.19	$84.95	$191.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $68.75 / $90.00	Professional		$25.30	$68.75	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $210.50 / $230.50	Professional		$200.40	$210.50	$230.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.95 / $180.09	Facility		$84.19	$84.95	$180.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $250.00 / $250.00	Professional		$107.80	$250.00	$250.00
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $320.00 / $320.00	Professional		$52.37	$320.00	$320.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $126.00	Professional		$90.00	$90.00	$126.00