Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $118.55 / $120.83	Facility		$116.27	$118.55	$120.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $127.42 / $208.44	Professional		$116.27	$127.42	$208.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.95 / $309.95 / $309.95	Professional		$309.95	$309.95	$309.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $173.23 / $192.48	Professional		$148.68	$173.23	$192.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $200.37 / $200.37	Facility		$200.37	$200.37	$200.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.99 / $1,096.95 / $1,096.95	Facility		$438.99	$1,096.95	$1,096.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.36 / $1,717.79 / $1,717.79	Professional		$1,674.36	$1,717.79	$1,717.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $200.37 / $281.80	Facility		$104.44	$200.37	$281.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $190.35 / $230.43	Professional		$104.44	$190.35	$230.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $210.39 / $404.42	Professional		$185.20	$210.39	$404.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $200.37 / $281.80	Facility		$104.44	$200.37	$281.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $221.32	Professional		$156.91	$156.91	$221.32
United Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $199.43 / $232.09	Professional		$134.82	$199.43	$232.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $197.68 / $200.37	Professional		$194.27	$197.68	$200.37