Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $39.81	Facility		$18.20	$23.99	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $40.74	Professional		$21.88	$28.84	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $93.33	Facility		$21.88	$36.31	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $42.66	Professional		$18.62	$26.30	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $32.36	Facility		$20.89	$22.39	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $60.26	Professional		$23.99	$35.48	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $263.03	Professional		$199.53	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $44.67	Facility		$21.38	$30.20	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $42.66	Professional		$21.88	$28.84	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $33.11	Professional		$18.20	$25.70	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $81.28	Professional		$48.98	$57.54	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $44.67	Facility		$21.38	$30.20	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $64.57	Professional		$24.55	$35.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $50.12	Professional		$21.38	$31.62	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $39.81	Professional		$19.50	$33.11	$39.81