Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $154.88	Facility		$35.48	$45.71	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $112.20	Professional		$30.20	$52.48	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $120.23	Professional		$40.74	$60.26	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Facility		$72.44	$72.44	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $44.67	Facility		$40.74	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $524.81	Professional		$354.81	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $95.50	Facility		$36.31	$60.26	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $95.50	Professional		$34.67	$53.70	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $81.28	Professional		$46.77	$46.77	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $97.72	Facility		$35.48	$56.23	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Professional		$38.02	$38.02	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $50.12	Facility		$21.38	$31.62	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $45.71	Professional		$26.30	$38.02	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $72.44 / $72.44	Professional		$30.90	$72.44	$72.44