Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $134.90	Facility		$19.05	$44.67	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $32.36	Professional		$16.98	$22.91	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $165.96	Facility		$34.67	$95.50	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $131.83	Facility		$20.89	$53.70	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $43.65	Professional		$15.85	$36.31	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $223.87	Professional		$147.91	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $54.95	Facility		$22.39	$30.20	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $37.15	Professional		$16.98	$22.91	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $63.10	Professional		$28.84	$32.36	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.62 / $87.10	Facility		$20.89	$31.62	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $57.54	Professional		$15.85	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.30 / $29.51	Facility		$10.72	$12.30	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $20.42	Professional		$12.30	$13.80	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $29.51 / $29.51	Professional		$11.48	$29.51	$29.51