Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $33.88	Professional		$7.94	$19.95	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $21.88 / $38.02	Professional		$5.01	$21.88	$38.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $79.43	Facility		$27.54	$27.54	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $17.38 / $42.66	Professional		$7.24	$17.38	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $208.93	Professional		$138.04	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $39.81	Facility		$16.98	$27.54	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $34.67	Professional		$15.14	$21.88	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $27.54	Professional		$23.44	$23.44	$27.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $58.88	Professional		$26.92	$30.20	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $42.66	Facility		$16.60	$25.12	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.62 / $42.66	Professional		$7.24	$18.62	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.60 / $54.95	Professional		$8.71	$16.60	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $23.44 / $27.54	Professional		$10.72	$23.44	$27.54