Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.83 / $284.30 / $289.77	Facility		$278.83	$284.30	$289.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.43 / $289.77 / $419.58	Professional		$262.43	$289.77	$419.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.01 / $443.31 / $443.31	Professional		$372.01	$443.31	$443.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $371.78 / $371.78	Professional		$297.14	$371.78	$371.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $492.06 / $492.06 / $624.38	Facility		$492.06	$492.06	$624.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $319.76	Facility		$319.76	$319.76	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $233.42	Professional		$233.42	$233.42	$233.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.13 / $2,697.83 / $3,188.91	Facility		$1,022.13	$2,697.83	$3,188.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.48 / $3,222.48 / $4,104.45	Professional		$3,222.48	$3,222.48	$4,104.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $422.18 / $624.38	Facility		$162.16	$422.18	$624.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $561.94 / $624.38	Professional		$162.16	$561.94	$624.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $636.87 / $1,404.86	Professional		$145.10	$636.87	$1,404.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $417.19 / $624.38	Facility		$162.16	$417.19	$624.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $516.97	Professional		$233.42	$233.42	$516.97
United Facility/Professional Professional Modifier Low / Median / High Price $209.33 / $302.70 / $360.37	Professional		$209.33	$302.70	$360.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $302.33 / $624.38	Professional		$301.64	$302.33	$624.38