Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 $39.95 / $39.95 / $39.95	Professional		$39.95	$39.95	$39.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $51.17 / $51.17	Professional		$51.17	$51.17	$51.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $56.77	Facility		$20.00	$20.00	$56.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $56.77	Facility		$20.00	$20.00	$56.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $46.00 / $62.10	Professional		$4.00	$46.00	$62.10