Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.79 / $261.70 / $271.95	Facility		$106.79	$261.70	$271.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.57 / $271.95 / $383.92	Professional		$247.57	$271.95	$383.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.06 / $416.06 / $468.80	Professional		$416.06	$416.06	$468.80
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 $278.89 / $278.89 / $348.93	Professional		$278.89	$278.89	$348.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $586.00 / $586.00	Facility		$586.00	$586.00	$586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $454.80	Professional		$237.52	$237.52	$454.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $979.24 / $2,714.31 / $2,714.31	Facility		$979.24	$2,714.31	$2,714.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.66 / $2,934.66 / $4,266.75	Professional		$2,934.66	$2,934.66	$4,266.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $440.38 / $586.00	Facility		$167.71	$440.38	$586.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $527.40 / $586.00	Professional		$167.71	$527.40	$586.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $615.29 / $1,025.50	Professional		$556.70	$615.29	$1,025.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $352.30 / $586.00	Facility		$167.71	$352.30	$586.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $473.03	Professional		$237.52	$325.37	$473.03
United Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $313.05 / $372.68	Professional		$216.48	$313.05	$372.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $316.64 / $586.00	Professional		$311.95	$316.64	$586.00