Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.22 / $4.49	Facility		$1.88	$3.22	$4.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.25	Professional		$1.88	$1.88	$2.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $1.24	Professional		$1.24	$1.24	$1.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $76.51 / $152.74	Facility		$30.12	$76.51	$152.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $80.00	Facility		$2.04	$2.04	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.88 / $2.88	Facility		$1.78	$1.88	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $123.45 / $123.45	Facility		$75.00	$123.45	$123.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.12 / $2,345.12 / $2,345.12	Professional		$2,345.12	$2,345.12	$2,345.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.90 / $27.25	Facility		$1.85	$1.90	$27.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.92 / $3.10	Professional		$1.88	$1.92	$3.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.25 / $36.29	Professional		$1.88	$2.25	$36.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.90 / $25.34	Facility		$1.88	$1.90	$25.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $6.79	Professional		$1.88	$1.88	$6.79
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.31 / $2.04	Facility		$1.24	$1.31	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.99 / $2.11	Professional		$1.88	$1.99	$2.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.88 / $2.63	Professional		$1.80	$1.88	$2.63