Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $27.49 / $63.80	Facility		$24.75	$27.49	$63.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $27.49 / $50.99	Professional		$25.94	$27.49	$50.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $65.16	Professional		$61.23	$61.23	$65.16
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 $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.24 / $83.45 / $83.45	Facility		$59.24	$83.45	$83.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $36.61	Professional		$26.73	$26.73	$36.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $286.64 / $334.02	Facility		$146.22	$286.64	$334.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $338.63 / $408.15	Professional		$338.63	$338.63	$408.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $44.46 / $59.24	Facility		$17.53	$44.46	$59.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $50.35 / $68.41	Professional		$17.53	$50.35	$68.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $59.24 / $135.94	Professional		$53.32	$59.24	$135.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $36.61 / $59.24	Facility		$17.53	$36.61	$59.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $55.43	Professional		$26.73	$26.73	$55.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $32.71 / $38.95	Professional		$22.63	$32.71	$38.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $32.60 / $59.24	Professional		$32.60	$32.60	$59.24