Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.20 / $199.53	Facility		$28.18	$30.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $63.10	Professional		$30.20	$36.31	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $50.12	Professional		$22.91	$31.62	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $114.82	Facility		$37.15	$41.69	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $50.12	Professional		$25.70	$32.36	$50.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.20 / $34.67	Facility		$28.84	$30.20	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $75.86	Professional		$33.11	$44.67	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $75.86	Facility		$29.51	$40.74	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $61.66	Professional		$30.20	$37.15	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $64.57 / $83.18	Professional		$28.18	$64.57	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $74.13	Facility		$30.20	$42.66	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $81.28	Professional		$33.11	$46.77	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $44.67	Facility		$43.65	$43.65	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $61.66	Professional		$30.20	$40.74	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $38.02	Professional		$26.30	$33.88	$38.02