Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $26.92	Professional		$7.94	$12.02	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $10.72	Professional		$9.12	$9.12	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.45 / $24.55	Professional		$5.01	$14.45	$24.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $79.43	Facility		$15.14	$15.14	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.22 / $26.30	Professional		$7.24	$11.22	$26.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $134.90	Professional		$91.20	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $30.90	Facility		$13.18	$19.05	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $23.44	Professional		$8.91	$12.02	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $17.78	Professional		$14.79	$15.14	$17.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $39.81	Professional		$18.20	$19.95	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $30.90	Facility		$12.02	$18.62	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $25.70	Professional		$7.08	$12.02	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $30.20	Professional		$8.71	$10.47	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $14.79 / $18.62	Professional		$5.89	$14.79	$18.62