Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $27.44 / $48.45	Facility		$22.43	$27.44	$48.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.87	Professional		$22.54	$22.54	$26.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $54.89	Facility		$22.52	$22.52	$54.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Professional		$22.52	$22.52	$22.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $22.56 / $22.56	Facility		$22.56	$22.56	$22.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.54 / $22.54	Facility		$21.26	$22.54	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $107.55 / $112.70	Facility		$75.00	$107.55	$112.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $95.19 / $95.19	Professional		$95.19	$95.19	$95.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.54 / $46.43	Facility		$22.21	$22.54	$46.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.99 / $37.19	Professional		$22.54	$22.99	$37.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $25.92 / $40.29	Professional		$22.54	$25.92	$40.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $41.92	Facility		$22.54	$22.54	$41.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.10	Professional		$22.54	$22.54	$26.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $25.09	Professional		$22.54	$23.89	$25.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $22.54 / $31.56	Professional		$21.56	$22.54	$31.56