Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $186.93 / $241.30	Professional		$133.46	$186.93	$241.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $188.54 / $195.29	Professional		$75.00	$188.54	$195.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.21 / $474.13 / $1,070.35	Facility		$187.21	$474.13	$1,070.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $175.39 / $175.39	Professional		$149.08	$175.39	$175.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $204.38 / $204.38	Facility		$182.45	$204.38	$204.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.04 / $1,047.39 / $1,047.39	Facility		$345.04	$1,047.39	$1,047.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.73 / $1,287.73 / $1,686.08	Professional		$1,287.73	$1,287.73	$1,686.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.96 / $214.82 / $449.92	Facility		$153.96	$214.82	$449.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.14 / $278.95 / $370.61	Professional		$229.14	$278.95	$370.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $239.60 / $514.60	Professional		$208.30	$239.60	$514.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $214.82 / $461.41	Facility		$152.10	$214.82	$461.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $458.74	Professional		$183.31	$183.31	$458.74
United Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $220.89 / $347.82	Professional		$160.78	$220.89	$347.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $199.45 / $273.41	Professional		$170.05	$199.45	$273.41