Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $37.40 / $109.27	Facility		$15.16	$37.40	$109.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.84 / $31.04	Professional		$11.23	$14.84	$31.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $63.96 / $120.10	Facility		$27.27	$63.96	$120.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $14.04	Professional		$5.00	$11.03	$14.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $80.00	Facility		$20.05	$20.05	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $45.84 / $105.96	Facility		$22.97	$45.84	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.92 / $44.18	Professional		$11.41	$14.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $95.52 / $95.52	Facility		$53.53	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $164.83 / $164.83	Professional		$162.81	$164.83	$164.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $27.07 / $50.26	Facility		$15.64	$27.07	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $27.81	Professional		$20.05	$20.05	$27.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $24.06 / $45.11	Professional		$13.03	$24.06	$45.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $32.22 / $73.23	Facility		$16.46	$32.22	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $19.88 / $38.99	Professional		$11.65	$19.88	$38.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.77 / $16.80	Professional		$8.42	$11.77	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $10.39 / $20.05	Professional		$9.90	$10.39	$20.05