Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $36.35 / $82.36	Facility		$22.42	$36.35	$82.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $42.46 / $63.72	Professional		$29.15	$42.46	$63.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Professional		$52.71	$52.71	$52.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $140.05 / $155.38	Facility		$44.80	$140.05	$155.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $42.35 / $49.82	Professional		$32.26	$42.35	$49.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $59.20	Facility		$33.40	$33.40	$59.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $49.99	Professional		$49.99	$49.99	$49.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $190.65 / $190.65	Facility		$190.65	$190.65	$190.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $308.33 / $461.10	Professional		$240.00	$308.33	$461.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $43.59 / $66.36	Facility		$28.43	$43.59	$66.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $62.49 / $97.81	Professional		$42.41	$62.49	$97.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $55.91 / $72.80	Professional		$37.49	$55.91	$72.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $43.59 / $66.36	Facility		$28.50	$43.59	$66.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $113.40	Professional		$49.99	$49.99	$113.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $70.30 / $108.31	Professional		$51.35	$70.30	$108.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $54.43 / $73.79	Professional		$46.38	$54.43	$73.79