Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $38.90	Professional		$12.88	$18.20	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $36.31 / $36.31	Facility		$33.88	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $30.20	Professional		$24.55	$25.12	$30.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $22.39	Facility		$17.78	$17.78	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $79.43	Professional		$19.50	$25.70	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $63.10	Facility		$18.62	$33.11	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $27.54	Professional		$12.88	$16.98	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $47.86	Professional		$17.78	$32.36	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $67.61	Facility		$17.38	$34.67	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $77.62	Professional		$20.42	$27.54	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $48.98	Professional		$13.49	$19.05	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.62 / $22.39	Professional		$8.71	$18.62	$22.39