Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.79 / $30.84	Facility		$20.10	$20.79	$30.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $22.87 / $31.19	Professional		$15.94	$22.87	$31.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $25.15	Professional		$25.15	$25.15	$25.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $54.94 / $114.45	Facility		$31.31	$54.94	$114.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $2.19	Professional		$1.89	$1.89	$2.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $29.37	Facility		$25.17	$25.17	$29.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $25.17	Professional		$21.39	$21.39	$25.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $183.45 / $187.96	Facility		$105.73	$183.45	$187.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $296.77 / $338.10	Professional		$209.94	$296.77	$338.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $39.57 / $78.78	Facility		$20.79	$39.57	$78.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $35.61 / $39.57	Professional		$28.29	$35.61	$39.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $56.40 / $78.00	Professional		$49.40	$56.40	$78.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $35.65 / $77.28	Facility		$21.83	$35.65	$77.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $37.65	Professional		$21.39	$21.39	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $18.26 / $27.94	Professional		$13.99	$18.26	$27.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $39.57 / $53.42	Professional		$15.72	$39.57	$53.42