Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $18.20 / $30.20	Professional		$7.94	$18.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $13.18	Professional		$5.01	$5.50	$13.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $79.43	Facility		$23.99	$23.99	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.14 / $38.02	Professional		$7.24	$15.14	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $181.97	Professional		$120.23	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $36.31	Facility		$16.98	$23.99	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $30.20	Professional		$13.18	$19.05	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $23.99	Professional		$20.42	$20.42	$23.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $51.29	Professional		$23.44	$25.70	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.88 / $41.69	Facility		$15.85	$21.88	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $16.22 / $37.15	Professional		$7.24	$16.22	$37.15
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 / $14.45 / $47.86	Professional		$8.71	$14.45	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $20.42 / $23.99	Professional		$9.33	$20.42	$23.99