Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $53.70	Facility		$39.81	$52.48	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $57.54	Professional		$23.99	$39.81	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $39.81	Professional		$17.78	$27.54	$39.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $29.51 / $39.81	Facility		$28.84	$29.51	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $70.79	Professional		$25.70	$38.02	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Facility		$173.78	$173.78	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $316.23	Professional		$234.42	$316.23	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $44.67 / $67.61	Facility		$29.51	$44.67	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $61.66	Professional		$23.99	$40.74	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $63.10	Professional		$30.20	$39.81	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $69.18	Facility		$29.51	$45.71	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $70.79	Professional		$25.70	$38.02	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $53.70	Professional		$25.70	$36.31	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $48.98	Professional		$23.44	$40.74	$48.98