Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $34.57 / $56.41	Professional		$28.96	$34.57	$56.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.60 / $22.60	Professional		$22.60	$22.60	$22.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.44 / $74.48	Professional		$50.00	$65.44	$74.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $43.68 / $50.11	Facility		$38.43	$43.68	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $29.84 / $91.65	Professional		$23.42	$29.84	$91.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $230.66 / $230.66	Facility		$72.31	$230.66	$230.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $328.55 / $426.60	Professional		$296.02	$328.55	$426.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $48.64 / $79.36	Facility		$29.76	$48.64	$79.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $71.94 / $117.26	Professional		$58.45	$71.94	$117.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $60.96 / $64.50	Professional		$48.31	$60.96	$64.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $47.92 / $82.48	Facility		$30.06	$47.92	$82.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $42.44 / $119.26	Professional		$23.73	$42.44	$119.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $35.02 / $111.16	Professional		$33.08	$35.02	$111.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $27.31 / $50.94	Professional		$21.32	$27.31	$50.94