Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.51 / $62.88 / $84.82	Facility		$60.51	$62.88	$84.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $62.88 / $102.03	Professional		$59.32	$62.88	$102.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $101.62 / $149.04	Professional		$65.00	$101.62	$149.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $64.48 / $80.68	Professional		$64.48	$64.48	$80.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $78.90 / $135.49	Facility		$78.90	$78.90	$135.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $86.88	Professional		$63.42	$63.42	$86.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.91 / $722.40 / $858.09	Facility		$405.91	$722.40	$858.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.27 / $1,314.05 / $1,314.05	Professional		$1,283.27	$1,314.05	$1,314.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $93.74 / $135.49	Facility		$43.64	$93.74	$135.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $121.94 / $155.81	Professional		$82.92	$121.94	$155.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $881.27 / $947.00	Facility		$728.00	$881.27	$947.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $135.49 / $310.95	Professional		$52.30	$135.49	$310.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $90.53 / $135.49	Facility		$43.64	$90.53	$135.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $106.04	Professional		$63.42	$63.42	$106.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $81.45 / $96.97	Professional		$56.33	$81.45	$96.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $82.18 / $135.49	Professional		$81.17	$82.18	$135.49