Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $82.76 / $89.66	Facility		$79.31	$82.76	$89.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $62.62 / $88.18	Professional		$57.93	$62.62	$88.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $213.00 / $213.00	Professional		$213.00	$213.00	$213.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $67.73 / $78.63	Professional		$57.22	$67.73	$78.63
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 Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $92.04 / $158.13	Professional		$65.52	$92.04	$158.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $328.49 / $356.87	Facility		$160.44	$328.49	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $464.35 / $464.35	Professional		$464.35	$464.35	$464.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $76.66 / $155.18	Facility		$58.68	$76.66	$155.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $100.23 / $130.55	Professional		$80.72	$100.23	$130.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $148.60 / $184.90	Professional		$129.19	$148.60	$184.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $76.97 / $165.47	Facility		$58.64	$76.97	$165.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $98.83 / $179.97	Professional		$69.65	$98.83	$179.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $82.11 / $126.72	Professional		$61.87	$82.11	$126.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $70.43 / $96.56	Professional		$59.91	$70.43	$96.56