Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $19.71 / $79.14	Facility		$8.41	$19.71	$79.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $9.40 / $21.96	Professional		$6.64	$9.40	$21.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.53 / $5.53	Professional		$5.53	$5.53	$5.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $26.77 / $47.23	Facility		$12.72	$26.77	$47.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.08 / $15.48	Professional		$5.00	$6.08	$15.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Facility		$11.06	$11.06	$11.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $39.52 / $67.97	Facility		$15.86	$39.52	$67.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $9.08 / $22.96	Professional		$8.14	$9.08	$22.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $169.00 / $169.00	Facility		$27.10	$169.00	$169.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $12.72 / $19.76	Facility		$9.86	$12.72	$19.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.28 / $20.02	Professional		$11.06	$11.28	$20.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $19.36 / $42.36	Professional		$13.27	$19.36	$42.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $14.44 / $48.31	Facility		$10.86	$14.44	$48.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.06 / $22.96	Professional		$8.14	$11.06	$22.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.65 / $7.93	Professional		$4.50	$4.65	$7.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $11.06 / $14.93	Professional		$4.42	$11.06	$14.93