Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $62.40 / $67.39	Facility		$61.57	$62.40	$67.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $62.40 / $83.20	Professional		$30.36	$62.40	$83.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $115.92 / $115.92	Professional		$47.51	$115.92	$115.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $107.44 / $260.70	Facility		$72.68	$107.44	$260.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $78.30	Professional		$78.30	$78.30	$78.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $444.69 / $451.35	Facility		$159.63	$444.69	$451.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.82 / $663.33 / $712.65	Professional		$637.82	$663.33	$712.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $95.02 / $159.88	Facility		$62.40	$95.02	$159.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $90.27 / $95.02	Professional		$80.77	$90.27	$95.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $106.61 / $166.28	Professional		$93.12	$106.61	$166.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $95.02 / $161.41	Facility		$62.40	$95.02	$161.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $79.00	Professional		$38.77	$38.77	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $43.10 / $65.31	Professional		$33.58	$43.10	$65.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $95.02 / $128.28	Professional		$95.02	$95.02	$128.28