Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $28.06 / $28.60	Facility		$27.52	$28.06	$28.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $28.60 / $40.39	Professional		$25.90	$28.60	$40.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $43.74 / $44.88	Professional		$30.81	$43.74	$44.88
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 $29.33 / $29.33 / $36.69	Professional		$29.33	$29.33	$36.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $61.61 / $61.61	Facility		$61.61	$61.61	$61.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $36.71	Facility		$34.22	$34.22	$36.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $34.22	Professional		$24.98	$24.98	$34.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $285.48 / $285.48	Facility		$102.97	$285.48	$285.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $308.61 / $448.80	Professional		$308.61	$308.61	$448.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $41.18 / $61.61	Facility		$17.64	$41.18	$61.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $55.45 / $61.61	Professional		$17.64	$55.45	$61.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $61.61 / $141.38	Professional		$21.40	$61.61	$141.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $37.06 / $61.61	Facility		$17.64	$37.06	$61.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $36.71	Professional		$24.98	$24.98	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $32.93 / $39.20	Professional		$22.77	$32.93	$39.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $33.31 / $61.61	Professional		$32.81	$33.31	$61.61