Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $68.17 / $75.98	Facility		$48.22	$68.17	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $68.17 / $82.21	Professional		$53.73	$68.17	$82.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $68.23 / $68.59	Professional		$68.23	$68.23	$68.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.04 / $154.35 / $326.57	Facility		$91.04	$154.35	$326.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $56.65 / $56.65	Professional		$56.65	$56.65	$56.65
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 $65.45 / $88.00 / $112.59	Facility		$65.45	$88.00	$112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.07 / $534.52 / $554.04	Facility		$194.07	$534.52	$554.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $555.50 / $854.25	Professional		$555.50	$555.50	$854.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $107.34 / $193.49	Facility		$66.01	$107.34	$193.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $113.08 / $119.03	Professional		$113.08	$113.08	$119.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $109.27 / $267.82	Professional		$51.80	$109.27	$267.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $111.81 / $193.49	Facility		$67.45	$111.81	$193.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $95.87	Professional		$47.79	$47.79	$95.87
United Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $55.89 / $76.03	Professional		$42.06	$55.89	$76.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $98.96 / $150.00	Professional		$98.96	$98.96	$150.00