Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $16.57 / $38.35	Facility		$15.94	$16.57	$38.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.57 / $26.88	Professional		$15.32	$16.57	$26.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $25.35 / $25.35	Professional		$25.35	$25.35	$25.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.26	Professional		$16.98	$16.98	$21.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.10	Professional		$16.86	$16.86	$23.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $190.57 / $226.10	Facility		$93.03	$190.57	$226.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $301.27 / $315.38	Professional		$294.20	$301.27	$315.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $24.88 / $35.70	Facility		$11.50	$24.88	$35.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $32.40 / $39.40	Professional		$11.50	$32.40	$39.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $36.42 / $80.33	Professional		$15.10	$36.42	$80.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $23.86 / $35.70	Facility		$11.50	$23.86	$35.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $24.63	Professional		$16.86	$16.86	$24.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $21.47 / $25.55	Professional		$14.85	$21.47	$25.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.57 / $35.70	Professional		$21.39	$21.57	$35.70