Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.89 / $18.23	Facility		$16.66	$16.89	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.91 / $25.72	Professional		$15.54	$17.91	$25.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $25.72 / $31.38	Professional		$19.29	$25.72	$31.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $25.88 / $70.59	Facility		$19.68	$25.88	$70.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
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 $30.14 / $30.14 / $30.14	Facility		$30.14	$30.14	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $142.94 / $158.72	Facility		$52.21	$142.94	$158.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $365.74 / $380.37	Professional		$200.00	$365.74	$380.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $27.24 / $77.55	Facility		$17.12	$27.24	$77.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $24.43 / $29.58	Professional		$21.86	$24.43	$29.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $28.85 / $45.01	Professional		$25.21	$28.85	$45.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.24 / $77.55	Facility		$17.38	$27.24	$77.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $21.39	Professional		$10.49	$10.49	$21.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.66 / $17.68	Professional		$9.09	$11.66	$17.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $34.72	Professional		$25.72	$25.72	$34.72