Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $13.04 / $18.73	Facility		$11.73	$13.04	$18.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $18.73 / $24.36	Professional		$13.41	$18.73	$24.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $15.56 / $15.56	Professional		$15.56	$15.56	$15.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $37.00 / $77.45	Facility		$14.61	$37.00	$77.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $13.25 / $14.40	Professional		$11.26	$13.25	$14.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $12.20 / $17.25	Facility		$12.20	$12.20	$17.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.25	Facility		$20.25	$20.25	$20.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $77.76 / $77.76	Facility		$77.47	$77.76	$77.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $107.17 / $139.35	Professional		$96.34	$107.17	$139.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $17.79 / $30.28	Facility		$12.31	$17.79	$30.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $22.77 / $30.69	Professional		$18.60	$22.77	$30.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.17 / $30.65	Professional		$13.61	$18.17	$30.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $17.79 / $30.61	Facility		$12.33	$17.79	$30.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $40.00	Professional		$15.18	$15.18	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $17.30 / $26.71	Professional		$12.81	$17.30	$26.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.54 / $22.44	Professional		$14.08	$16.54	$22.44