Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $60.36 / $60.54	Facility		$56.18	$60.36	$60.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $56.18 / $63.46	Professional		$46.38	$56.18	$63.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $233.50	Professional		$110.00	$110.00	$233.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $327.45 / $339.39	Facility		$118.87	$327.45	$339.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $368.87 / $523.28	Professional		$368.87	$368.87	$523.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $62.30 / $159.46	Facility		$51.07	$62.30	$159.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $56.55 / $56.55	Professional		$56.55	$56.55	$56.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $88.14 / $116.33	Professional		$71.20	$88.14	$116.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $62.30 / $159.46	Facility		$51.07	$62.30	$159.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $60.79	Professional		$60.55	$60.55	$60.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $117.60	Professional		$84.00	$84.00	$117.60