Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.67 / $23.24	Facility		$15.14	$15.67	$23.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $17.03 / $23.50	Professional		$11.90	$17.03	$23.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $23.86 / $23.86	Professional		$23.86	$23.86	$23.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $41.40 / $86.23	Facility		$23.59	$41.40	$86.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $29.82 / $29.82	Facility		$29.82	$29.82	$29.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Professional		$16.12	$16.12	$16.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $139.41 / $141.65	Facility		$134.52	$139.41	$141.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $220.84 / $229.67	Professional		$142.71	$220.84	$229.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $29.82 / $53.37	Facility		$15.67	$29.82	$53.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $27.43 / $29.82	Professional		$19.27	$27.43	$29.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $42.50 / $58.70	Professional		$37.20	$42.50	$58.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $26.91 / $53.32	Facility		$16.45	$26.91	$53.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $28.38	Professional		$16.12	$16.12	$28.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.75 / $21.04	Professional		$10.54	$13.75	$21.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $29.82 / $40.26	Professional		$11.84	$29.82	$40.26