Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $4,897.79	Facility		$11.22	$17.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $43.65	Professional		$20.89	$25.70	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $40.74	Professional		$26.92	$27.54	$40.74
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 $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $43.65 / $43.65	Facility		$40.74	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.02	Professional		$32.36	$32.36	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $95.50	Facility		$18.20	$35.48	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $38.02	Professional		$19.05	$23.99	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $83.18	Facility		$19.05	$40.74	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $40.74	Professional		$32.36	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.51 / $56.23	Facility		$18.62	$29.51	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $42.66	Professional		$24.55	$35.48	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74