Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $35.36 / $36.04	Facility		$34.69	$35.36	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $36.04 / $58.49	Professional		$33.32	$36.04	$58.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $55.15	Professional		$55.15	$55.15	$55.15
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 $36.97 / $36.97 / $46.25	Professional		$36.97	$36.97	$46.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $77.67 / $77.67	Facility		$77.67	$77.67	$77.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.54	Professional		$39.81	$39.81	$54.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.51 / $416.19 / $482.65	Facility		$180.51	$416.19	$482.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $580.77 / $614.63	Professional		$567.17	$580.77	$614.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $54.13 / $77.67	Facility		$24.54	$54.13	$77.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $69.90 / $77.67	Professional		$24.54	$69.90	$77.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $89.32 / $178.25	Professional		$77.67	$89.32	$178.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $54.13 / $77.67	Facility		$24.54	$54.13	$77.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $58.13	Professional		$39.81	$39.81	$58.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $45.82 / $54.54	Professional		$31.69	$45.82	$54.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $45.72 / $77.67	Professional		$45.68	$45.72	$77.67