Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $49.75 / $677.97	Facility		$17.73	$49.75	$677.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $49.75 / $60.49	Professional		$48.39	$49.75	$60.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $83.47 / $177.34	Facility		$14.52	$83.47	$177.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $80.00	Facility		$8.91	$8.91	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Facility		$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $150.07 / $150.07	Facility		$75.00	$150.07	$150.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $411.45 / $411.45 / $411.45	Professional		$411.45	$411.45	$411.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $14.89 / $62.00	Facility		$7.64	$14.89	$62.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $23.33 / $51.23	Professional		$15.00	$23.33	$51.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.14 / $20.05	Professional		$8.91	$11.14	$20.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $15.53 / $62.19	Facility		$7.68	$15.53	$62.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $51.42 / $51.42	Professional		$11.05	$51.42	$51.42
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $53.42 / $56.11	Professional		$50.40	$53.42	$56.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.47	Professional		$8.91	$8.91	$12.47