Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $14.91 / $1,602.62	Facility		$12.33	$14.91	$1,602.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $14.91 / $19.88	Professional		$9.88	$14.91	$19.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Professional		$15.89	$15.89	$15.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $24.73 / $62.12	Facility		$17.37	$24.73	$62.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $26.60	Facility		$13.64	$13.64	$26.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $106.80 / $107.83	Facility		$46.08	$106.80	$107.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $113.05 / $170.25	Professional		$113.05	$113.05	$170.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $17.86 / $28.32	Facility		$14.91	$17.86	$28.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $21.57 / $22.70	Professional		$19.18	$21.57	$22.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $26.11 / $44.70	Professional		$16.89	$26.11	$44.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $17.86 / $28.42	Facility		$14.91	$17.86	$28.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $13.20	Professional		$11.59	$11.59	$13.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.46 / $13.80	Professional		$8.02	$10.46	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $22.70 / $30.65	Professional		$10.97	$22.70	$30.65