Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.45 / $86.45 / $86.45	Facility		$86.45	$86.45	$86.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.16 / $119.45	Professional		$69.18	$97.16	$119.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $125.58 / $125.58	Professional		$97.39	$125.58	$125.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $254.18 / $579.54	Facility		$102.95	$254.18	$579.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $89.28 / $89.28	Professional		$75.89	$89.28	$89.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.31 / $110.74	Facility		$106.00	$106.31	$110.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $530.37 / $530.37	Facility		$179.96	$530.37	$530.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.18 / $661.18 / $854.40	Professional		$661.18	$661.18	$854.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.45 / $120.99 / $194.25	Facility		$86.45	$120.99	$194.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $146.33 / $193.44	Professional		$116.06	$146.33	$193.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $206.70 / $267.10	Professional		$165.80	$206.70	$267.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.39 / $120.99 / $200.87	Facility		$86.39	$120.99	$200.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $244.98	Professional		$92.85	$92.85	$244.98
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $113.74 / $176.90	Professional		$84.96	$113.74	$176.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $101.07 / $137.77	Professional		$86.13	$101.07	$137.77