Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.98 / $39.81	Facility		$10.00	$16.98	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $28.84	Professional		$10.00	$18.20	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $32.36	Facility		$15.49	$25.70	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $25.70	Professional		$10.72	$17.38	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $39.81	Professional		$12.59	$21.88	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $154.88	Facility		$128.82	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.88 / $40.74	Facility		$11.22	$21.88	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $33.88	Professional		$10.00	$19.05	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $56.23	Professional		$18.62	$25.70	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.88 / $40.74	Facility		$11.22	$21.88	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $44.67	Professional		$12.30	$22.91	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Facility		$17.38	$17.38	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $30.90	Professional		$11.22	$18.62	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $24.55 / $27.54	Professional		$10.23	$24.55	$27.54