Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Facility		$48.98	$48.98	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $70.79	Professional		$46.77	$54.95	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $52.48	Professional		$44.67	$48.98	$52.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $51.29 / $66.07	Facility		$50.12	$51.29	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $120.23	Facility		$50.12	$67.61	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $89.13	Professional		$47.86	$57.54	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $234.42	Professional		$53.70	$112.20	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $117.49	Facility		$50.12	$66.07	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $147.91	Professional		$60.26	$60.26	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $89.13	Facility		$83.18	$83.18	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $102.33	Professional		$50.12	$67.61	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $70.79	Professional		$47.86	$63.10	$70.79