Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $112.00 / $112.00	Facility		$14.66	$112.00	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.66 / $15.20	Professional		$10.21	$14.66	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $14.50 / $14.50	Professional		$6.26	$14.50	$14.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $25.79 / $25.79	Professional		$25.79	$25.79	$25.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Professional		$22.69	$22.69	$22.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $14.66 / $18.55	Facility		$13.75	$14.66	$18.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $41.00	Professional		$15.00	$15.00	$41.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $14.66 / $18.55	Facility		$13.75	$14.66	$18.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $36.33	Professional		$15.00	$15.00	$36.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $27.72	Professional		$19.80	$19.80	$27.72