Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $49.85 / $53.23	Facility		$46.80	$49.85	$53.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $54.58 / $67.83	Professional		$47.59	$54.58	$67.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $50.40 / $54.14	Professional		$42.84	$50.40	$54.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $63.33 / $63.33	Facility		$50.32	$63.33	$63.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.80 / $293.80 / $293.80	Facility		$293.80	$293.80	$293.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $403.56 / $511.43	Professional		$377.52	$403.56	$511.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $61.39 / $131.93	Facility		$49.59	$61.39	$131.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $85.13 / $110.39	Professional		$69.93	$85.13	$110.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $65.33 / $112.45	Professional		$51.90	$65.33	$112.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $61.57 / $132.84	Facility		$49.59	$61.57	$132.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $153.61	Professional		$55.95	$55.95	$153.61
United Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $83.44 / $88.33	Facility		$83.44	$83.44	$88.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $68.89 / $104.01	Professional		$51.98	$68.89	$104.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $60.96 / $83.33	Professional		$51.90	$60.96	$83.33