Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $102.33	Facility		$22.91	$51.29	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $53.70	Professional		$19.95	$23.44	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $23.99	Professional		$9.12	$16.22	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $75.86	Facility		$16.98	$39.81	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $91.20	Facility		$22.91	$50.12	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $50.12	Professional		$19.95	$23.44	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Professional		$22.39	$22.39	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $53.70 / $57.54	Facility		$15.14	$53.70	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $70.79	Facility		$21.88	$26.30	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $26.30	Professional		$21.38	$25.12	$26.30