Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $85.76 / $196.95	Facility		$82.52	$85.76	$196.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $85.76 / $124.71	Professional		$68.59	$85.76	$124.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $131.19 / $131.19	Professional		$131.19	$131.19	$131.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $110.03 / $110.03	Professional		$110.03	$110.03	$110.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $184.79 / $184.79 / $184.79	Facility		$184.79	$184.79	$184.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $434.45 / $737.38 / $877.75	Facility		$434.45	$737.38	$877.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.31 / $1,406.25 / $1,406.25	Professional		$1,373.31	$1,406.25	$1,406.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $123.47 / $184.79	Facility		$44.64	$123.47	$184.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $170.01 / $184.79	Professional		$44.64	$170.01	$184.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $203.27 / $415.78	Professional		$184.79	$203.27	$415.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $123.47 / $184.79	Facility		$44.64	$123.47	$184.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $95.57	Professional		$65.44	$65.44	$95.57
United Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $83.24 / $99.19	Professional		$57.62	$83.24	$99.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $84.28 / $184.79	Professional		$83.03	$84.28	$184.79