Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $50.34 / $57.07	Facility		$40.18	$50.34	$57.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $59.73 / $82.51	Professional		$42.28	$59.73	$82.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $68.45 / $102.68	Professional		$65.83	$68.45	$102.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $61.63 / $61.63	Professional		$52.39	$61.63	$61.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $73.29 / $73.29	Facility		$63.04	$73.29	$73.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $368.27 / $368.27	Facility		$121.06	$368.27	$368.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $605.91 / $605.91	Professional		$605.91	$605.91	$605.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $78.01 / $124.23	Facility		$57.07	$78.01	$124.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $90.83 / $129.96	Professional		$68.45	$90.83	$129.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $89.60	Professional		$76.70	$76.70	$89.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $78.01 / $131.36	Facility		$57.07	$78.01	$131.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $167.79	Professional		$64.28	$64.28	$167.79
United Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $76.92 / $118.63	Professional		$56.05	$76.92	$118.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $68.45 / $95.83	Professional		$59.63	$68.45	$95.83