Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $91.20 / $1,258.93	Facility		$15.14	$91.20	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $30.20	Professional		$12.02	$16.98	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $10.00	Professional		$8.51	$9.55	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $120.23	Facility		$26.92	$67.61	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $27.54	Professional		$5.01	$10.96	$27.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Facility		$19.95	$19.95	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $93.33	Facility		$18.20	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $44.67	Professional		$11.48	$15.49	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $95.50	Facility		$15.49	$19.95	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $25.12	Professional		$10.72	$16.98	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $19.50	Professional		$15.14	$16.98	$19.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $42.66	Professional		$19.95	$21.88	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $57.54	Facility		$15.49	$23.44	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $40.74	Professional		$11.48	$15.49	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $19.95	Facility		$7.24	$12.02	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $16.98	Professional		$8.51	$11.48	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.98 / $19.95	Professional		$7.76	$16.98	$19.95