Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $73.22 / $336.70	Facility		$70.45	$73.22	$336.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $73.22 / $118.82	Professional		$66.31	$73.22	$118.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $112.02	Professional		$112.02	$112.02	$112.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $93.95	Professional		$75.09	$75.09	$93.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $157.78 / $157.78 / $157.78	Facility		$157.78	$157.78	$157.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.06	Professional		$72.31	$72.31	$99.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $730.97 / $730.97	Facility		$263.70	$730.97	$730.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $790.38 / $790.38 / $1,149.00	Professional		$790.38	$790.38	$1,149.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $109.19 / $157.78	Facility		$45.17	$109.19	$157.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $145.16 / $157.78	Professional		$45.17	$145.16	$157.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $173.56 / $355.00	Professional		$157.78	$173.56	$355.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $105.45 / $157.78	Facility		$45.17	$105.45	$157.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $105.60	Professional		$72.31	$72.31	$105.60
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $84.31 / $100.37	Professional		$58.30	$84.31	$100.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $84.59 / $157.78	Professional		$84.01	$84.59	$157.78