Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $17.89 / $131.44	Facility		$16.89	$17.89	$131.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.23 / $33.78	Professional		$16.89	$18.23	$33.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $19.54 / $24.59	Professional		$19.54	$19.54	$24.59
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 $18.36 / $18.36 / $22.97	Professional		$18.36	$18.36	$22.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $24.80	Professional		$18.10	$18.10	$24.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $178.59 / $178.59	Facility		$80.00	$178.59	$178.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $193.12 / $193.12 / $280.50	Professional		$193.12	$193.12	$280.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $28.96 / $38.57	Facility		$11.59	$28.96	$38.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $34.71 / $38.57	Professional		$11.59	$34.71	$38.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $38.57 / $88.52	Professional		$34.71	$38.57	$88.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $24.80 / $38.57	Facility		$11.59	$24.80	$38.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $31.11	Professional		$18.10	$18.10	$31.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $21.07 / $24.52	Professional		$14.25	$21.07	$24.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.75 / $38.57	Professional		$20.52	$20.75	$38.57