Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $42.36 / $97.50	Facility		$40.76	$42.36	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.36 / $59.94	Professional		$35.18	$42.36	$59.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Professional		$64.80	$64.80	$64.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $54.35 / $54.35	Professional		$43.44	$54.35	$54.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $91.27 / $91.27	Facility		$91.27	$91.27	$91.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $42.77	Professional		$31.22	$31.22	$42.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.94 / $365.88 / $433.53	Facility		$201.94	$365.88	$433.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.46 / $653.80 / $653.80	Professional		$638.46	$653.80	$653.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $60.98 / $91.27	Facility		$22.05	$60.98	$91.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $71.43 / $91.27	Professional		$22.05	$71.43	$91.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $100.40 / $205.36	Professional		$91.27	$100.40	$205.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $60.98 / $91.27	Facility		$22.05	$60.98	$91.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $45.60	Professional		$31.22	$31.22	$45.60
United Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $33.85 / $39.84	Facility		$26.24	$33.85	$39.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $41.15 / $48.99	Professional		$28.46	$41.15	$48.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $41.54 / $91.27	Professional		$41.01	$41.54	$91.27