Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $14.86 / $14.97	Facility		$14.86	$14.86	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.97 / $126.15	Professional		$13.33	$14.97	$126.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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 Professional Modifier Low / Median / High Price $19.00 / $23.00 / $40.53	Professional		$19.00	$23.00	$40.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.62 / $499.54 / $571.57	Facility		$228.62	$499.54	$571.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $806.50 / $806.50 / $921.98	Professional		$806.50	$806.50	$921.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $19.32 / $117.76	Facility		$14.51	$19.32	$117.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.68 / $27.00	Professional		$20.00	$20.68	$27.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $31.59	Professional		$23.82	$23.82	$31.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $17.53 / $118.30	Facility		$14.22	$17.53	$118.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $37.89	Professional		$19.00	$24.00	$37.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $129.26 / $220.45	Professional		$23.82	$129.26	$220.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $89.01 / $120.88	Professional		$56.88	$89.01	$120.88