Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $186.21	Facility		$40.74	$42.66	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $70.79	Professional		$38.90	$45.71	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $102.33	Professional		$47.86	$67.61	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $95.50	Facility		$79.43	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Facility		$56.23	$56.23	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Professional		$41.69	$41.69	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $676.08	Professional		$467.74	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $123.03	Facility		$41.69	$75.86	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $91.20	Professional		$40.74	$45.71	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Professional		$57.54	$57.54	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $354.81	Professional		$33.88	$33.88	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $125.89	Facility		$41.69	$70.79	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $60.26	Professional		$41.69	$41.69	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $41.69 / $95.50	Facility		$26.30	$41.69	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $58.88	Professional		$34.67	$50.12	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50