Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $21.04 / $21.45	Facility		$20.64	$21.04	$21.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $21.45 / $34.79	Professional		$19.43	$21.45	$34.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Professional		$36.97	$36.97	$36.97
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 $22.00 / $22.00 / $27.52	Professional		$22.00	$22.00	$27.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $46.21 / $46.21	Facility		$46.21	$46.21	$46.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $27.10	Professional		$19.78	$19.78	$27.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $214.06 / $214.06	Facility		$85.00	$214.06	$214.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $231.57 / $336.60	Professional		$231.57	$231.57	$336.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $30.88 / $46.21	Facility		$13.23	$30.88	$46.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $41.59 / $46.21	Professional		$13.23	$41.59	$46.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $47.13 / $103.97	Professional		$35.35	$47.13	$103.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $27.78 / $46.21	Facility		$13.23	$27.78	$46.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $36.65	Professional		$19.78	$19.78	$36.65
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $23.91 / $29.39	Professional		$16.96	$23.91	$29.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.60 / $46.21	Professional		$24.25	$24.60	$46.21