Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $28.91 / $37.17	Facility		$20.66	$28.91	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $26.21 / $46.35	Professional		$22.23	$26.21	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.75 / $31.52	Professional		$15.76	$22.75	$31.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.64 / $38.83	Professional		$20.00	$25.64	$38.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $114.90 / $1,400.00	Facility		$105.96	$114.90	$1,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $158.99 / $203.93	Professional		$150.33	$158.99	$203.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $25.67 / $42.52	Facility		$21.31	$25.67	$42.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $31.54 / $43.67	Professional		$26.04	$31.54	$43.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $26.07 / $63.70	Professional		$14.34	$26.07	$63.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $25.76 / $45.00	Facility		$21.28	$25.76	$45.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $31.25 / $60.00	Professional		$21.00	$31.25	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $27.83 / $46.07	Professional		$20.57	$27.83	$46.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $24.32 / $33.28	Professional		$20.71	$24.32	$33.28