Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $69.27 / $112.94	Facility		$62.17	$69.27	$112.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $67.01 / $86.80	Professional		$60.07	$67.01	$86.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $80.27 / $85.09	Professional		$70.62	$80.27	$85.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $93.12 / $93.12 / $93.12	Professional	25	$93.12	$93.12	$93.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $229.24 / $419.77	Facility		$95.73	$229.24	$419.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $74.30 / $85.29	Professional		$59.43	$74.30	$85.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $70.42 / $81.56	Facility		$64.87	$70.42	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $85.75 / $134.13	Professional		$65.72	$85.75	$134.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $368.17 / $368.17	Facility		$339.11	$368.17	$368.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $475.79 / $475.79 / $530.02	Professional		$475.79	$475.79	$530.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $72.67 / $97.07	Facility		$60.07	$72.67	$97.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $106.81 / $141.30	Professional		$79.70	$106.81	$141.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $87.29 / $99.01	Professional		$87.29	$87.29	$99.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $72.56 / $96.32	Facility		$60.07	$72.56	$96.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $88.71 / $138.72	Professional		$67.79	$88.71	$138.72
United Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $84.09 / $128.15	Professional		$63.07	$84.09	$128.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $80.27 / $111.39	Professional		$70.12	$80.27	$111.39