Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $36.85 / $106.62	Facility		$14.93	$36.85	$106.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $15.01 / $23.70	Professional		$11.06	$15.01	$23.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Professional		$11.85	$11.85	$11.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $63.99 / $118.11	Facility		$24.49	$63.99	$118.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.47 / $17.57	Professional		$5.00	$10.47	$17.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $20.74 / $20.74	Facility		$19.75	$20.74	$20.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $39.90 / $87.56	Facility		$13.80	$39.90	$87.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.50 / $30.64	Professional		$10.47	$13.50	$30.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $93.81 / $251.00	Facility		$55.00	$93.81	$251.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $19.75 / $27.09	Facility		$15.01	$19.75	$27.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.75 / $23.53	Professional		$18.64	$19.75	$23.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $247.97 / $609.10	Facility		$179.78	$247.97	$609.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $19.75 / $45.67	Facility		$15.01	$19.75	$45.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.04 / $26.08	Professional		$10.47	$14.04	$26.08
United Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $19.75 / $23.70	Facility		$10.60	$19.75	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.40 / $14.75	Professional		$8.30	$10.40	$14.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $8.92 / $19.75	Professional		$7.70	$8.92	$19.75