Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $36.20 / $1,170.95	Facility		$28.27	$36.20	$1,170.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $38.07 / $55.92	Professional		$28.27	$38.07	$55.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,986.00 / $7,901.00 / $9,037.00	Facility		$3,986.00	$7,901.00	$9,037.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $30.89 / $44.05	Professional		$22.69	$30.89	$44.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $55.38 / $83.33	Professional		$29.93	$55.38	$83.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $5,294.00 / $5,294.00	Facility		$62.33	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $433.89 / $451.24	Professional		$280.99	$433.89	$451.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $39.10 / $82.66	Facility		$25.58	$39.10	$82.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $38.82 / $46.58	Professional		$33.64	$38.82	$46.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $40.43 / $82.03	Facility		$25.63	$40.43	$82.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $55.38 / $84.60	Professional		$29.84	$55.38	$84.60
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $47.62 / $79.15	Professional		$35.72	$47.62	$79.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $25.30 / $34.53	Professional		$22.09	$25.30	$34.53