Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $24.52 / $35.20	Facility		$21.12	$24.52	$35.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.11 / $44.93	Professional		$24.52	$33.11	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $30.14 / $31.44	Professional		$21.99	$30.14	$31.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $82.41 / $131.27	Facility		$26.60	$82.41	$131.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $23.33 / $27.36	Professional		$19.82	$23.33	$27.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $26.72 / $26.72	Facility		$21.78	$26.72	$26.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.21 / $139.13 / $139.13	Facility		$137.21	$139.13	$139.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $201.47 / $261.75	Professional		$173.27	$201.47	$261.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $33.02 / $56.81	Facility		$24.49	$33.02	$56.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $41.92 / $55.89	Professional		$33.15	$41.92	$55.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $33.09 / $57.38	Professional		$24.23	$33.09	$57.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $33.04 / $56.87	Facility		$24.52	$33.04	$56.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $73.23	Professional		$28.57	$28.57	$73.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $32.79 / $51.29	Professional		$23.94	$32.79	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $31.15 / $42.24	Professional		$26.50	$31.15	$42.24