Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.89 / $220.46 / $271.00	Facility		$208.89	$220.46	$271.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $220.46 / $266.33	Professional		$203.60	$220.46	$266.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $262.54 / $262.54	Professional		$236.29	$262.54	$262.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $129.74 / $129.74	Professional		$110.28	$129.74	$129.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.08 / $231.48 / $293.76	Facility		$206.08	$231.48	$293.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $144.10 / $207.49	Professional		$129.62	$144.10	$207.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.98 / $231.48 / $294.29	Facility		$206.98	$231.48	$294.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $268.89 / $365.33	Professional		$207.49	$268.89	$365.33