Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $72.44	Facility		$43.65	$57.54	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $83.18	Professional		$52.48	$61.66	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $70.79	Professional		$33.88	$50.12	$70.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $93.33	Professional		$40.74	$57.54	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $467.74	Professional		$416.87	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $109.65	Facility		$50.12	$64.57	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $93.33	Professional		$48.98	$61.66	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $50.12	Professional		$30.20	$32.36	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $151.36	Professional		$93.33	$112.20	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $109.65	Facility		$51.29	$64.57	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $97.72	Professional		$41.69	$58.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $107.15	Professional		$50.12	$66.07	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $74.13	Professional		$47.86	$61.66	$74.13