Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $51.89 / $51.89	Facility		$40.00	$51.89	$51.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $35.85 / $53.65	Professional		$24.04	$35.85	$53.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $27.83 / $43.51	Professional		$20.16	$27.83	$43.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $29.79 / $39.65	Facility		$28.67	$29.79	$39.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $37.44 / $70.00	Professional		$26.00	$37.44	$70.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $150.19 / $150.19	Facility		$137.78	$150.19	$150.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $314.55	Professional		$237.00	$237.00	$314.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $41.33 / $62.15	Facility		$28.97	$41.33	$62.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $48.78 / $67.54	Professional		$33.86	$48.78	$67.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $41.34 / $60.45	Professional		$31.52	$41.34	$60.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $41.99 / $63.04	Facility		$28.97	$41.99	$63.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.00 / $85.00	Professional		$27.00	$45.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $38.65 / $55.76	Professional		$27.61	$38.65	$55.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $37.65 / $51.25	Professional		$32.02	$37.65	$51.25