Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $6.92 / $7.72	Facility		$4.90	$6.92	$7.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.88 / $8.50	Professional		$4.90	$6.88	$8.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $5.96 / $32.00	Professional		$5.96	$5.96	$32.00
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 $30.39 / $30.39 / $30.39	Professional		$30.39	$30.39	$30.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Facility		$348.00	$348.00	$348.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $90.00 / $90.00	Facility		$16.70	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $71.66 / $73.58	Professional		$68.90	$71.66	$73.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $11.08 / $16.93	Facility		$6.85	$11.08	$16.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $25.40 / $28.90	Professional		$22.30	$25.40	$28.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.13 / $16.93	Facility		$6.92	$11.13	$16.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.59 / $10.28	Professional		$4.69	$5.59	$10.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $9.44	Professional		$7.00	$7.00	$9.44