Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $75.86 / $75.86	Facility		$22.91	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $72.44	Professional		$28.84	$53.70	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $57.54	Professional		$28.18	$44.67	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $47.86	Professional		$26.30	$40.74	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $61.66	Facility		$33.88	$33.88	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $467.74	Professional		$380.19	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $79.43	Professional		$28.84	$56.23	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $218.78	Professional		$70.79	$123.03	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $154.88	Facility		$57.54	$57.54	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $114.82	Professional		$56.23	$56.23	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $95.50	Facility		$50.12	$50.12	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $97.72	Professional		$31.62	$56.23	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $66.07	Professional		$30.90	$58.88	$66.07