Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.98 / $59.38	Facility		$54.25	$54.98	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $56.58 / $74.78	Professional		$41.79	$56.58	$74.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $83.72 / $83.72	Professional		$83.72	$83.72	$83.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $68.98 / $68.98	Professional		$68.98	$68.98	$68.98
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 $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.65 / $391.81 / $397.67	Facility		$140.65	$391.81	$397.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $544.17 / $565.94 / $627.90	Professional		$544.17	$565.94	$627.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $83.72 / $135.97	Facility		$54.98	$83.72	$135.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $79.53 / $83.72	Professional		$71.16	$79.53	$83.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $93.93 / $146.51	Professional		$82.05	$93.93	$146.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $83.72 / $137.38	Facility		$54.98	$83.72	$137.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $69.61	Professional		$34.15	$34.15	$69.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $37.97 / $57.56	Professional		$29.59	$37.97	$57.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $83.72 / $113.02	Professional		$83.72	$83.72	$113.02