Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $23.64 / $25.87	Facility		$16.89	$23.64	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $26.83 / $60.20	Professional		$22.04	$26.83	$60.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $36.47 / $40.50	Professional		$9.80	$36.47	$40.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $41.25 / $100.09	Facility		$27.91	$41.25	$100.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Professional		$30.06	$30.06	$30.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Facility		$15.05	$15.05	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $179.81 / $199.67	Facility		$74.03	$179.81	$199.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $461.14 / $479.59	Professional		$273.52	$461.14	$479.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $37.27 / $97.36	Facility		$24.27	$37.27	$97.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $34.65 / $40.95	Professional		$31.00	$34.65	$40.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $40.92 / $63.82	Professional		$35.74	$40.92	$63.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $37.90 / $97.36	Facility		$24.63	$37.90	$97.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $30.33	Professional		$14.88	$14.88	$30.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $16.55 / $25.08	Professional		$12.89	$16.55	$25.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $49.23	Professional		$36.47	$36.47	$49.23