Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $7,244.36	Facility		$162.18	$288.40	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $199.53	Professional		$162.18	$165.96	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $512.86	Facility		$112.20	$269.15	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $162.18	Facility		$79.43	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $162.18	Facility		$154.88	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $269.15	Facility		$162.18	$165.96	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $186.21	Professional		$151.36	$162.18	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $218.78 / $288.40	Professional		$0.60	$218.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $269.15	Facility		$162.18	$165.96	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Facility		$162.18	$162.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $181.97	Professional		$162.18	$173.78	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $204.17	Professional		$151.36	$162.18	$204.17