Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $150.00	Professional		$80.00	$80.00	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Facility		$147.00	$147.00	$147.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $38.00	Facility		$22.00	$22.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $170.00	Facility		$100.00	$100.00	$170.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Professional		$61.00	$61.00	$61.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $56.77	Facility		$20.00	$20.00	$56.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $881.27 / $1,418.00	Facility		$675.00	$881.27	$1,418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $56.77	Facility		$20.00	$20.00	$56.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $32.70 / $44.15	Professional		$32.70	$32.70	$44.15