Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $86.49 / $252.61	Facility		$35.22	$86.49	$252.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $36.15 / $46.35	Professional		$20.16	$36.15	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.99 / $135.34 / $243.34	Facility		$50.99	$135.34	$243.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $25.49 / $54.23	Professional		$24.57	$25.49	$54.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Facility		$46.35	$46.35	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $77.54 / $197.67	Facility		$13.55	$77.54	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $24.37 / $60.47	Professional		$9.53	$24.37	$60.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $220.16 / $220.16	Facility		$81.20	$220.16	$220.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $46.35 / $56.08	Facility		$33.36	$46.35	$56.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $46.35 / $46.35	Professional		$18.59	$46.35	$46.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $114.50 / $130.68	Facility		$88.50	$114.50	$130.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $46.35 / $84.82	Facility		$28.74	$46.35	$84.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $24.37 / $46.35	Professional		$9.53	$24.37	$46.35
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.76 / $18.54	Facility		$9.77	$10.76	$18.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $27.81	Professional		$8.16	$19.47	$27.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $46.35	Professional		$18.54	$18.54	$46.35