Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $97.72	Facility		$12.02	$30.20	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $97.72	Facility		$21.88	$54.95	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $15.85	Professional		$5.01	$8.91	$15.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $18.62	Facility		$16.22	$16.22	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $87.10	Facility		$15.85	$35.48	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.48 / $27.54	Professional		$8.71	$11.48	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $128.82	Facility		$104.71	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.22 / $32.36	Facility		$12.30	$16.22	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $20.89	Professional		$8.91	$14.79	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $13.80	Professional		$12.30	$13.80	$13.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $50.12	Facility		$13.18	$16.22	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $27.54	Professional		$9.12	$12.02	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.96 / $16.22	Facility		$5.89	$10.96	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $14.13	Professional		$6.92	$9.55	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $16.22	Professional		$6.31	$6.31	$16.22