Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $19.64 / $99.77	Facility		$19.64	$19.64	$99.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.83 / $102.49	Professional		$92.03	$93.83	$102.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $89.95 / $91.78	Professional		$46.40	$89.95	$91.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $83.52 / $83.52	Professional		$70.98	$83.52	$83.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $97.42 / $97.42	Facility		$97.42	$97.42	$97.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $498.64 / $498.64	Facility		$166.77	$498.64	$498.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $599.65 / $802.58	Professional		$599.65	$599.65	$802.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $99.45 / $198.54	Facility		$91.98	$99.45	$198.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $136.94 / $175.68	Professional		$108.62	$136.94	$175.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $94.88 / $130.93	Professional		$87.19	$94.88	$130.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $99.45 / $198.54	Facility		$91.78	$99.45	$198.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $196.46	Professional		$86.90	$86.90	$196.46
United Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $95.53 / $143.36	Professional		$71.40	$95.53	$143.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $94.56 / $128.49	Professional		$80.61	$94.56	$128.49