Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.62 / $186.62 / $432.58	Facility		$186.62	$186.62	$432.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $358.02 / $444.14	Professional		$245.47	$358.02	$444.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.75 / $424.75 / $424.75	Professional		$424.75	$424.75	$424.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $280.30 / $329.76	Professional		$206.12	$280.30	$329.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $359.31 / $359.31 / $502.50	Facility		$359.31	$359.31	$502.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,056.56 / $2,056.56 / $2,056.56	Facility		$2,056.56	$2,056.56	$2,056.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.10 / $2,678.63 / $3,839.63	Professional		$2,389.10	$2,678.63	$3,839.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.52 / $444.14 / $777.25	Facility		$371.52	$444.14	$777.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $613.53 / $818.05	Professional		$493.69	$613.53	$818.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $395.46 / $533.41 / $900.02	Professional		$395.46	$533.41	$900.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.52 / $445.37 / $782.78	Facility		$371.52	$445.37	$782.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $907.41	Professional		$418.11	$418.11	$907.41
United Facility/Professional Professional Modifier Low / Median / High Price $328.14 / $433.89 / $703.76	Professional		$328.14	$433.89	$703.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.88 / $455.24 / $621.79	Professional		$387.88	$455.24	$621.79