Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $15.31 / $16.53	Facility		$15.10	$15.31	$16.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.92 / $24.50	Professional		$12.88	$15.92	$24.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $17.48 / $23.32	Professional		$10.41	$17.48	$23.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $27.52 / $63.95	Facility		$18.22	$27.52	$63.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $19.21 / $19.21	Professional		$19.21	$19.21	$19.21
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 $27.32 / $27.32 / $27.32	Facility		$27.32	$27.32	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $110.77 / $117.78	Facility		$47.34	$110.77	$117.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $272.08 / $282.97	Professional		$174.90	$272.08	$282.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $23.32 / $57.32	Facility		$15.51	$23.32	$57.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $22.15 / $26.53	Professional		$19.82	$22.15	$26.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $26.17 / $40.81	Professional		$22.85	$26.17	$40.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $23.40 / $57.32	Facility		$15.51	$23.40	$57.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $19.38	Professional		$9.51	$9.51	$19.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $10.58 / $16.03	Professional		$8.24	$10.58	$16.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $23.32 / $31.48	Professional		$23.32	$23.32	$31.48