Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $1.24	Professional		$1.24	$1.24	$1.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $64.00	Facility		$0.23	$0.23	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $4.97	Facility		$1.75	$1.75	$4.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.04 / $1.09	Professional		$0.95	$1.04	$1.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $4.97	Facility		$1.75	$1.75	$4.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.42	Professional		$0.31	$0.31	$0.42