Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $27.45 / $138.26	Facility		$16.21	$27.45	$138.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $29.25 / $51.46	Professional		$18.26	$29.25	$51.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $53.15 / $119.35	Facility		$30.00	$53.15	$119.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $22.38 / $34.89	Professional		$15.26	$22.38	$34.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $80.00	Facility		$15.59	$15.59	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $36.86 / $79.11	Professional		$21.12	$36.86	$79.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $95.19	Facility		$55.00	$55.00	$95.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $270.66 / $326.25	Professional		$154.72	$270.66	$326.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $39.74 / $71.22	Facility		$19.43	$39.74	$71.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $33.68 / $50.23	Professional		$23.54	$33.68	$50.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $33.09 / $52.05	Professional		$18.85	$33.09	$52.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $40.19 / $71.34	Facility		$19.57	$40.19	$71.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $38.17 / $79.11	Professional		$21.20	$38.17	$79.11
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $38.54 / $64.48	Professional		$24.83	$38.54	$64.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $27.28 / $38.15	Professional		$24.02	$27.28	$38.15