Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $31.47 / $83.91	Facility		$12.76	$31.47	$83.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.31 / $20.23	Professional		$9.44	$14.31	$20.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $53.82 / $96.03	Facility		$18.89	$53.82	$96.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.94 / $15.00	Professional		$5.00	$8.94	$15.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $16.87 / $16.87	Facility		$11.49	$16.87	$16.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $36.86 / $75.51	Facility		$11.79	$36.86	$75.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.27 / $28.45	Professional		$8.94	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $94.08 / $94.08	Facility		$73.98	$94.08	$94.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $16.87 / $21.09	Facility		$12.65	$16.87	$21.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $16.87 / $21.98	Professional		$15.18	$16.87	$21.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $282.82 / $612.04	Facility		$206.81	$282.82	$612.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $16.87 / $39.26	Facility		$12.65	$16.87	$39.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.97 / $24.16	Professional		$8.94	$12.97	$24.16
United Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $16.87 / $27.77	Facility		$10.15	$16.87	$27.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.66 / $14.50	Professional		$7.09	$9.66	$14.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.33 / $16.87	Professional		$6.58	$8.33	$16.87