Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $24.53 / $117.30	Facility		$22.68	$24.53	$117.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.70 / $26.32	Professional		$18.39	$22.70	$26.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $15.52 / $19.55	Professional		$14.55	$15.52	$19.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $67.40 / $107.49	Facility		$27.21	$67.40	$107.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $21.31 / $21.31	Professional		$18.12	$21.31	$21.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $24.51	Facility		$22.68	$22.68	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $85.48	Facility		$29.76	$29.76	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $145.97 / $145.97	Facility		$85.00	$145.97	$145.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $149.15 / $227.48	Professional		$149.15	$149.15	$227.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $24.33 / $40.43	Facility		$14.26	$24.33	$40.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $42.70 / $101.32	Professional		$32.35	$42.70	$101.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.92 / $645.92 / $1,465.41	Facility		$645.92	$645.92	$1,465.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $52.50 / $64.20	Professional		$48.00	$52.50	$64.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $24.33 / $44.53	Facility		$14.41	$24.33	$44.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $62.00	Professional		$23.81	$23.81	$62.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $24.36 / $38.13	Professional		$18.17	$24.36	$38.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $24.45 / $35.13	Professional		$22.09	$24.45	$35.13