Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $58.21 / $59.33	Facility		$57.09	$58.21	$59.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $59.33 / $96.27	Professional		$54.03	$59.33	$96.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $102.27 / $102.27	Professional		$102.27	$102.27	$102.27
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 $60.84 / $60.84 / $76.12	Professional		$60.84	$60.84	$76.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $127.84 / $127.84	Facility		$127.84	$127.84	$127.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $70.98	Professional		$51.82	$51.82	$70.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $592.25 / $592.25	Facility		$213.61	$592.25	$592.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.13 / $640.13 / $931.20	Professional		$640.13	$640.13	$931.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $85.42 / $127.84	Facility		$36.59	$85.42	$127.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $115.06 / $127.84	Professional		$36.59	$115.06	$127.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $130.40 / $287.64	Professional		$97.80	$130.40	$287.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $76.83 / $127.84	Facility		$36.59	$76.83	$127.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $73.12	Professional		$51.82	$51.82	$73.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $68.30 / $81.31	Professional		$47.23	$68.30	$81.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $68.06 / $127.84	Professional		$66.53	$68.06	$127.84