Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $38.97 / $122.60	Facility		$23.77	$38.97	$122.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $44.46 / $68.55	Professional		$29.60	$44.46	$68.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $60.24 / $63.51	Professional		$60.24	$60.24	$63.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $354.75 / $442.85	Facility		$116.47	$354.75	$442.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $46.27 / $54.43	Professional		$28.64	$46.27	$54.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $66.28	Facility		$34.54	$34.54	$66.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $193.75	Facility		$193.75	$193.75	$193.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $411.10 / $526.28	Professional		$254.90	$411.10	$526.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $62.19 / $96.86	Facility		$38.03	$62.19	$96.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $72.86 / $111.80	Professional		$48.26	$72.86	$111.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $67.42 / $145.96	Professional		$35.44	$67.42	$145.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $62.08 / $101.01	Facility		$38.02	$62.08	$101.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $137.76	Professional		$57.14	$57.14	$137.76
United Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $67.48 / $103.35	Professional		$50.65	$67.48	$103.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $62.23 / $84.36	Professional		$53.01	$62.23	$84.36