Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $28.76 / $29.31	Facility		$28.20	$28.76	$29.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $29.31 / $41.37	Professional		$26.68	$29.31	$41.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $47.36 / $47.36	Professional		$47.36	$47.36	$47.36
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 $30.06 / $30.06 / $37.60	Professional		$30.06	$30.06	$37.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $63.15 / $63.15	Facility		$63.15	$63.15	$63.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Facility		$35.07	$35.07	$35.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $35.07	Professional		$25.60	$25.60	$35.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $292.55 / $292.55	Facility		$105.57	$292.55	$292.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $316.33 / $459.90	Professional		$316.33	$316.33	$459.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $42.20 / $63.15	Facility		$18.07	$42.20	$63.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $56.84 / $63.15	Professional		$18.07	$56.84	$63.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $64.41 / $142.09	Professional		$48.31	$64.41	$142.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $37.97 / $63.15	Facility		$18.07	$37.97	$63.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $37.39	Professional		$25.60	$25.60	$37.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.74 / $40.17	Professional		$23.33	$33.74	$40.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.61 / $63.15	Professional		$33.04	$33.61	$63.15