Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $173.99 / $218.90	Professional		$115.75	$173.99	$218.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $179.16 / $179.16	Professional		$179.16	$179.16	$179.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $160.99 / $160.99	Professional		$136.84	$160.99	$160.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.25 / $197.46 / $197.46	Facility		$174.25	$197.46	$197.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $321.24 / $952.86 / $952.86	Facility		$321.24	$952.86	$952.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.54 / $1,182.54 / $1,536.45	Professional		$1,182.54	$1,182.54	$1,536.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $197.08 / $424.76	Facility		$141.74	$197.08	$424.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.79 / $255.40 / $339.32	Professional		$209.79	$255.40	$339.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $248.40 / $470.40	Professional		$216.10	$248.40	$470.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $197.08 / $435.61	Facility		$140.03	$197.08	$435.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $434.90	Professional		$167.84	$167.84	$434.90
United Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $207.66 / $329.21	Professional		$154.96	$207.66	$329.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $182.76 / $250.82	Professional		$155.69	$182.76	$250.82