Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $141.25	Facility		$32.36	$51.29	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $61.66	Professional		$30.90	$37.15	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $74.13	Professional		$72.44	$72.44	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Professional		$34.67	$34.67	$43.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $537.03	Professional		$478.63	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $61.66 / $104.71	Facility		$33.11	$61.66	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $93.33	Professional		$32.36	$39.81	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $52.48	Professional		$45.71	$45.71	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $275.42	Professional		$44.67	$44.67	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $109.65	Facility		$33.11	$58.88	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $83.18	Facility		$22.39	$36.31	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $51.29	Professional		$30.20	$43.65	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86