Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $17.19 / $25.81	Facility		$9.82	$17.19	$25.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.68 / $12.81	Professional		$10.67	$10.68	$12.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $12.82	Professional		$12.82	$12.82	$12.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $61.22 / $121.43	Facility		$24.19	$61.22	$121.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $145.83 / $145.83	Facility		$145.83	$145.83	$145.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.68 / $18.03	Facility		$10.07	$10.68	$18.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.08	Professional		$10.68	$10.68	$11.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.82 / $134.16	Facility		$75.00	$120.82	$134.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $424.84 / $424.84 / $424.84	Professional		$424.84	$424.84	$424.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $13.60 / $51.99	Facility		$9.73	$13.60	$51.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.89 / $17.62	Professional		$10.68	$10.89	$17.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.75 / $46.70	Professional		$7.79	$11.75	$46.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.48 / $51.57	Facility		$10.68	$13.48	$51.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $20.04	Professional		$10.68	$10.68	$20.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.32 / $11.96	Professional		$10.68	$11.32	$11.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.70 / $14.95	Professional		$10.68	$10.70	$14.95