Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $16,218.10	Facility		$38.90	$85.11	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $61.66	Professional		$38.90	$40.74	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $44.67	Professional		$40.74	$40.74	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $338.84	Facility		$70.79	$177.83	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $79.43	Facility		$39.81	$39.81	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $39.81	Facility		$38.02	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $79.43	Facility		$39.81	$44.67	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $52.48	Professional		$38.90	$39.81	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $61.66	Professional		$42.66	$52.48	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $53.70	Professional		$0.60	$30.20	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $93.33	Facility		$39.81	$40.74	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $51.29	Professional		$7.94	$7.94	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Facility		$39.81	$39.81	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $44.67	Professional		$39.81	$42.66	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $52.48	Professional		$39.81	$39.81	$52.48