Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $851.14	Facility		$61.66	$263.03	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $79.43	Professional		$8.91	$14.79	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.75 / $21.38	Professional		$10.23	$11.75	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.88 / $50.12	Facility		$10.72	$21.88	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $19.05	Professional		$9.77	$11.48	$19.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $12.02	Facility		$10.23	$10.23	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $20.89	Professional		$10.00	$12.88	$20.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $104.71	Professional		$89.13	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $46.77 / $707.95	Facility		$10.23	$46.77	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $52.48	Professional		$8.91	$14.45	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $32.36 / $33.11	Professional		$9.12	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $28.18	Professional		$11.75	$21.38	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $22.39	Facility		$9.55	$13.18	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $18.62	Professional		$8.71	$12.02	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.59 / $12.59	Professional		$11.75	$12.59	$12.59