Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $129.90 / $132.38	Facility		$127.40	$129.90	$132.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $132.38 / $213.97	Professional		$119.90	$132.38	$213.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.55 / $202.55 / $202.55	Professional		$202.55	$202.55	$202.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $135.77 / $169.86	Professional		$135.77	$135.77	$169.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $285.27 / $285.27 / $285.27	Facility		$285.27	$285.27	$285.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $582.45 / $1,347.14 / $1,580.75	Facility		$582.45	$1,347.14	$1,580.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.42 / $1,713.56 / $2,495.92	Professional		$1,673.42	$1,713.56	$2,495.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $197.39 / $285.27	Facility		$80.38	$197.39	$285.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $256.75 / $305.33	Professional		$80.38	$256.75	$305.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $205.80 / $205.80	Professional		$205.80	$205.80	$205.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $190.61 / $285.27	Facility		$80.38	$190.61	$285.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $197.87	Professional		$135.50	$135.50	$197.87
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $150.05 / $178.63	Professional		$103.77	$150.05	$178.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $150.94 / $285.27	Professional		$149.53	$150.94	$285.27