Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $275.42	Facility		$25.70	$66.07	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $54.95	Professional		$20.89	$28.18	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $35.48	Professional		$16.98	$16.98	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $208.93	Facility		$46.77	$117.49	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $47.86	Professional		$5.01	$19.50	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $79.43	Facility		$35.48	$35.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $186.21	Facility		$38.90	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $77.62	Professional		$19.95	$27.54	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $144.54	Facility		$26.92	$46.77	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $26.92 / $43.65	Professional		$7.08	$26.92	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,122.02 / $1,122.02	Facility		$562.34	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $123.03	Facility		$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $74.13	Professional		$19.95	$32.36	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $29.51	Professional		$14.79	$20.42	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $29.51	Professional		$13.80	$13.80	$29.51