Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $67.54 / $68.84	Facility		$66.23	$67.54	$68.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $68.84 / $101.01	Professional		$63.65	$68.84	$101.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $118.67 / $118.67	Professional		$88.38	$118.67	$118.67
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 $70.59 / $70.59 / $88.33	Professional		$70.59	$70.59	$88.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $148.34 / $148.34	Facility		$148.34	$148.34	$148.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $83.71	Professional		$61.11	$61.11	$83.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $688.05 / $688.05	Facility		$247.90	$688.05	$688.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.07 / $743.07 / $1,080.30	Professional		$743.07	$743.07	$1,080.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $126.09 / $148.34	Facility		$68.84	$126.09	$148.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $136.47 / $149.66	Professional		$75.00	$136.47	$149.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $148.34 / $340.45	Professional		$113.48	$148.34	$340.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $83.71 / $148.34	Facility		$75.00	$83.71	$148.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $89.24	Professional		$61.11	$61.11	$89.24
United Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $65.33 / $77.56	Facility		$51.71	$65.33	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $82.74 / $103.42	Professional		$54.94	$82.74	$103.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $79.78 / $148.34	Professional		$45.00	$79.78	$148.34