Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $89.13 / $912.01	Facility		$1.12	$89.13	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.51 / $4.37	Professional		$1.07	$1.51	$4.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.51 / $4.27	Facility		$1.38	$2.51	$4.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.76 / $1.12	Facility		$0.76	$0.76	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $0.76	Professional		$0.76	$0.76	$0.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.83 / $1.51	Facility		$0.76	$0.83	$1.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.83 / $158.49	Professional		$0.76	$0.83	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.79 / $1.17	Professional		$0.76	$0.79	$1.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $6,918.31	Facility		$4,073.80	$4,265.80	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.82 / $30.20	Professional		$0.81	$1.82	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.79 / $1.45	Facility		$0.76	$0.79	$1.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.89	Professional		$0.79	$0.79	$0.89
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.81 / $0.85	Professional		$0.76	$0.81	$0.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $0.95	Professional		$0.76	$0.76	$0.95