Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $28.74 / $32.63	Facility		$22.14	$28.74	$32.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $29.13 / $38.84	Professional		$21.18	$29.13	$38.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $22.63 / $26.62	Professional		$22.63	$22.63	$26.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $48.33 / $123.95	Facility		$28.34	$48.33	$123.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $23.69 / $23.69	Professional		$21.11	$23.69	$23.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $6.60 / $44.36	Facility		$6.60	$6.60	$44.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.66 / $26.66	Facility		$22.39	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $27.46	Professional		$22.66	$22.66	$27.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $196.23 / $196.23	Facility		$85.00	$196.23	$196.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $220.91 / $397.13	Professional		$220.91	$220.91	$397.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $32.63 / $44.36	Facility		$12.15	$32.63	$44.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $39.92 / $44.36	Professional		$14.98	$39.92	$44.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Professional		$16.70	$16.70	$16.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $31.75 / $44.36	Facility		$12.15	$31.75	$44.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $34.72	Professional		$22.66	$22.66	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $20.47 / $26.99	Professional		$15.68	$20.47	$26.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $44.36	Professional		$17.22	$17.22	$44.36