Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $41.85 / $72.70	Facility		$17.01	$41.85	$72.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.02 / $29.19	Professional		$16.78	$23.02	$29.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $30.00 / $31.01	Professional		$28.56	$30.00	$31.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $19.57 / $21.89	Professional		$18.60	$19.57	$21.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $71.50 / $71.50	Facility		$26.13	$71.50	$71.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $33.33	Professional		$29.16	$29.16	$33.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Facility		$151.53	$151.53	$151.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $187.97 / $267.30	Professional		$155.88	$187.97	$267.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.69 / $34.15	Facility		$16.78	$24.69	$34.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $42.16 / $56.58	Professional		$33.47	$42.16	$56.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $45.00 / $62.69	Professional		$22.85	$45.00	$62.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.67 / $33.96	Facility		$16.78	$24.67	$33.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $60.52	Professional		$29.16	$29.16	$60.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $27.71 / $44.56	Professional		$20.03	$27.71	$44.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.76 / $43.41	Professional		$27.05	$31.76	$43.41