Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.15 / $402.60 / $402.60	Facility		$391.15	$402.60	$402.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $324.54 / $402.89	Professional		$252.37	$324.54	$402.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $343.00 / $343.00	Professional		$320.77	$343.00	$343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $258.05 / $299.52	Professional		$219.34	$258.05	$299.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $342.24 / $342.24 / $453.52	Facility		$342.24	$342.24	$453.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,927.28 / $1,927.28 / $1,927.28	Facility		$1,927.28	$1,927.28	$1,927.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.04 / $2,460.96 / $3,458.78	Professional		$2,269.04	$2,460.96	$3,458.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.51 / $405.08 / $705.06	Facility		$349.51	$405.08	$705.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.23 / $557.49 / $740.02	Professional		$452.23	$557.49	$740.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $484.50 / $810.83	Professional		$368.47	$484.50	$810.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.51 / $405.22 / $726.21	Facility		$349.51	$405.22	$726.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $824.32	Professional		$378.23	$378.23	$824.32
United Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $386.89 / $621.45	Professional		$294.77	$386.89	$621.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.88 / $412.07 / $564.04	Professional		$350.88	$412.07	$564.04