Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $24.00	Facility		$20.00	$20.00	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $69.81 / $69.81	Professional		$59.35	$69.81	$69.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $180.06 / $189.75	Professional		$14.84	$180.06	$189.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $515.64 / $529.77	Professional		$347.20	$515.64	$529.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.39 / $71.12	Facility		$20.00	$20.39	$71.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Professional		$209.00	$209.00	$209.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Professional		$129.60	$129.60	$129.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.39 / $71.12	Facility		$20.00	$20.39	$71.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $73.00 / $87.00	Professional		$14.84	$73.00	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $230.00 / $230.00	Professional		$12.51	$230.00	$230.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $95.82	Professional		$68.44	$68.44	$95.82