Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $38.02	Facility		$24.55	$33.88	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $45.71	Professional		$24.55	$33.88	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $43.65	Professional		$23.99	$33.11	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $70.79 / $165.96	Facility		$47.86	$70.79	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $436.52	Professional		$281.84	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $100.00	Facility		$29.51	$58.88	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $41.69	Professional		$25.12	$33.11	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $30.90	Professional		$21.38	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $95.50	Facility		$30.20	$53.70	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $44.67	Professional		$30.90	$30.90	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $37.15	Professional		$21.38	$28.18	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12