Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $15.94 / $19.03	Facility		$12.08	$15.94	$19.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $16.66 / $21.41	Professional		$13.08	$16.66	$21.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Professional		$15.76	$15.76	$15.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $17.64 / $26.38	Professional		$14.36	$17.64	$26.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $17.10 / $17.76	Facility		$15.71	$17.10	$17.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $19.16	Facility		$19.16	$19.16	$19.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $19.14 / $31.03	Professional		$14.73	$19.14	$31.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.74 / $82.46 / $105.00	Facility		$38.74	$82.46	$105.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $124.43 / $135.75	Professional		$124.43	$124.43	$135.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $17.84 / $30.72	Facility		$14.92	$17.84	$30.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $23.45 / $30.08	Professional		$17.79	$23.45	$30.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.62 / $32.63	Professional		$16.23	$20.62	$32.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $17.91 / $32.93	Facility		$15.07	$17.91	$32.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $20.94 / $41.50	Professional		$15.43	$20.94	$41.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.10 / $24.61	Professional		$11.89	$16.10	$24.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $16.22 / $22.20	Professional		$12.77	$16.22	$22.20