Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $42.99 / $43.82	Facility		$42.17	$42.99	$43.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $43.82 / $61.85	Professional		$39.69	$43.82	$61.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $75.54 / $75.54	Professional		$75.54	$75.54	$75.54
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 $44.94 / $44.94 / $56.22	Professional		$44.94	$44.94	$56.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $94.42 / $94.42	Facility		$94.42	$94.42	$94.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $58.60	Professional		$42.78	$42.78	$58.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $437.39 / $437.39	Facility		$157.77	$437.39	$437.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $687.38	Professional		$473.70	$473.70	$687.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $70.89 / $94.42	Facility		$27.03	$70.89	$94.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $84.98 / $94.42	Professional		$27.03	$84.98	$94.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $99.14 / $212.44	Professional		$30.60	$99.14	$212.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $58.60 / $94.42	Facility		$27.03	$58.60	$94.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $74.95	Professional		$42.78	$42.78	$74.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $49.80 / $60.06	Professional		$34.89	$49.80	$60.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $50.86 / $94.42	Professional		$50.27	$50.86	$94.42