Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $103.11 / $105.09	Facility		$101.13	$103.11	$105.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $105.09 / $139.15	Professional		$95.18	$105.09	$139.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $144.36	Professional		$20.00	$20.00	$144.36
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 $107.77 / $107.77 / $134.84	Professional		$107.77	$107.77	$134.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $226.45 / $226.45 / $226.45	Facility		$226.45	$226.45	$226.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $185.24	Professional		$91.70	$91.70	$185.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $464.12 / $1,045.23 / $1,218.84	Facility		$464.12	$1,045.23	$1,218.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.68 / $1,231.68 / $1,578.83	Professional		$1,231.68	$1,231.68	$1,578.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $170.02 / $226.45	Facility		$64.75	$170.02	$226.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $203.81 / $226.45	Professional		$64.75	$203.81	$226.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $230.98 / $519.71	Professional		$203.81	$230.98	$519.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $134.94 / $226.45	Facility		$64.75	$134.94	$226.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $189.07	Professional		$91.70	$91.70	$189.07
United Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $120.85 / $143.88	Professional		$83.58	$120.85	$143.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $122.25 / $226.45	Professional		$120.44	$122.25	$226.45