Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $742.95 / $43,390.41	Facility		$115.47	$742.95	$43,390.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $166.59 / $238.47	Professional		$150.54	$166.59	$238.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $188.50 / $250.00	Professional		$135.00	$188.50	$250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.79 / $820.44 / $1,529.42	Facility		$315.79	$820.44	$1,529.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $108.70 / $108.70	Professional		$92.39	$108.70	$108.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $1,081.45 / $1,120.91	Facility		$373.35	$1,081.45	$1,120.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.10 / $1,176.10 / $1,728.30	Professional		$1,176.10	$1,176.10	$1,728.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $186.73 / $352.50	Facility		$150.13	$186.73	$352.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $247.50 / $247.50	Professional		$177.60	$247.50	$247.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $426.92 / $538.69	Professional		$357.16	$426.92	$538.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.54 / $189.55 / $349.58	Facility		$150.54	$189.55	$349.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $210.04	Professional		$156.72	$156.72	$210.04
United Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $220.31 / $353.52	Professional		$149.47	$220.31	$353.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $142.56 / $194.01	Professional		$134.15	$142.56	$194.01