Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $43.65 / $60.26	Facility		$41.69	$43.65	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $125.89	Professional		$36.31	$45.71	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $37.15	Professional		$27.54	$33.88	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $100.00	Professional		$33.11	$58.88	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $100.00	Facility		$35.48	$58.88	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $70.79	Professional		$37.15	$45.71	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $102.33	Professional		$54.95	$72.44	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $104.71	Facility		$35.48	$58.88	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $97.72	Professional		$33.88	$60.26	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $87.10	Professional		$40.74	$57.54	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $47.86	Professional		$38.02	$39.81	$47.86