Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $29.28 / $33.24	Facility		$22.55	$29.28	$33.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $29.68 / $39.57	Professional		$22.55	$29.68	$39.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $22.63 / $22.63	Professional		$22.63	$22.63	$22.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $24.14	Professional		$21.53	$21.73	$24.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Facility		$45.26	$45.26	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $29.14	Professional		$21.27	$21.27	$29.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $214.99 / $214.99	Facility		$211.82	$214.99	$214.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $225.39 / $339.45	Professional		$225.39	$225.39	$339.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $31.68 / $45.26	Facility		$11.45	$31.68	$45.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $40.72 / $45.26	Professional		$27.70	$40.72	$45.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $29.68 / $45.26	Facility		$11.45	$29.68	$45.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $35.53	Professional		$21.27	$21.27	$35.53
United Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $26.10 / $33.53	Facility		$16.03	$26.10	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $24.14 / $28.86	Professional		$15.99	$24.14	$28.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $28.09 / $45.26	Professional		$27.58	$28.09	$45.26