Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $108.00 / $108.00	Facility		$19.47	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $19.47 / $24.41	Professional		$15.88	$19.47	$24.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.39 / $5.39	Professional		$4.58	$5.39	$5.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $20.00 / $80.00	Facility		$6.81	$20.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $33.02	Professional		$19.00	$23.00	$33.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $137.78 / $158.74	Facility		$80.00	$137.78	$158.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $235.08 / $279.75	Professional		$154.65	$235.08	$279.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $19.19 / $24.60	Facility		$9.11	$19.19	$24.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $12.50 / $15.00	Professional		$11.25	$12.50	$15.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.55 / $12.76	Professional		$10.05	$12.55	$12.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $19.47 / $25.47	Facility		$10.07	$19.47	$25.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.25 / $33.02	Professional		$16.00	$22.25	$33.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $22.48 / $37.42	Professional		$16.48	$22.48	$37.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.07 / $13.80	Professional		$6.95	$10.07	$13.80