Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $81.45 / $214.32	Facility		$32.47	$81.45	$214.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $32.74 / $52.38	Professional		$26.19	$32.74	$52.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $26.19	Professional		$26.19	$26.19	$26.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $141.72 / $261.02	Facility		$53.65	$141.72	$261.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $24.01 / $61.11	Professional		$5.00	$24.01	$61.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $39.29 / $43.65	Facility		$39.29	$39.29	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $101.53 / $220.81	Facility		$39.47	$101.53	$220.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $41.53 / $86.00	Professional		$22.43	$41.53	$86.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $207.34 / $207.34	Facility		$94.41	$207.34	$207.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $218.25 / $327.38	Professional		$218.25	$218.25	$327.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $43.65 / $74.34	Facility		$27.50	$43.65	$74.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $43.65 / $54.56	Professional		$41.47	$43.65	$54.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $52.38 / $98.21	Professional		$28.37	$52.38	$98.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $56.65 / $188.45	Facility		$32.74	$56.65	$188.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $50.20 / $79.27	Professional		$24.66	$50.20	$79.27
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $24.97 / $34.46	Professional		$18.32	$24.97	$34.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $43.65 / $58.93	Professional		$17.02	$43.65	$58.93