Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $13.35 / $20.82	Facility		$10.99	$13.35	$20.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.88 / $28.93	Professional		$13.01	$13.88	$28.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $22.43 / $22.43	Professional		$14.95	$22.43	$22.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $17.80	Professional		$14.23	$14.23	$17.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $22.26 / $29.90	Facility		$22.26	$22.26	$29.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $23.65	Professional		$16.19	$16.19	$23.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $160.57 / $189.38	Facility		$85.00	$160.57	$189.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $248.72 / $248.72	Professional		$242.87	$248.72	$248.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $20.83 / $29.90	Facility		$9.63	$20.83	$29.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $27.21 / $39.86	Professional		$9.63	$27.21	$39.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $31.72 / $68.62	Professional		$29.90	$31.72	$68.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $20.83 / $29.90	Facility		$9.63	$20.83	$29.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $31.55	Professional		$16.19	$16.19	$31.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.97 / $21.39	Professional		$12.43	$17.97	$21.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $18.11 / $29.90	Professional		$17.91	$18.11	$29.90