Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.75 / $263.03	Facility		$5.01	$11.75	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $7.41	Professional		$5.01	$5.50	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $23.99 / $47.86	Facility		$9.77	$23.99	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $79.43	Facility		$5.50	$5.50	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.50 / $5.50	Facility		$5.13	$5.50	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $416.87	Professional		$234.42	$234.42	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.76 / $30.90	Facility		$5.50	$7.76	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.76	Professional		$5.01	$5.01	$6.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $7.76	Professional		$6.46	$6.46	$7.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $19.50 / $30.20	Professional		$5.50	$19.50	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.13 / $38.02	Facility		$5.50	$8.13	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.76	Professional		$5.01	$5.01	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.75 / $30.90	Professional		$5.50	$5.75	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.76	Professional		$5.50	$5.50	$6.76