Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $84.32 / $127.85	Facility		$46.32	$84.32	$127.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $63.82	Professional		$46.32	$46.78	$63.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $59.07 / $59.07	Professional		$59.07	$59.07	$59.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $178.38 / $355.92	Facility		$70.48	$178.38	$355.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $92.19 / $92.19	Professional		$92.19	$92.19	$92.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $39.93 / $80.00	Facility		$39.93	$39.93	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $46.32	Facility		$43.70	$46.32	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $232.69 / $232.69	Facility		$90.83	$232.69	$232.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $232.69 / $235.06	Professional		$232.69	$232.69	$235.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $52.74 / $98.20	Facility		$46.32	$52.74	$98.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $47.25 / $76.43	Professional		$46.32	$47.25	$76.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $49.10 / $89.85	Professional		$39.93	$49.10	$89.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $98.01	Facility		$46.32	$46.32	$98.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $72.84	Professional		$46.32	$46.32	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $51.56	Professional		$46.32	$49.10	$51.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.95 / $64.84	Professional		$46.32	$50.95	$64.84