Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $203.00	Facility		$14.82	$14.82	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
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 $6.10 / $6.61 / $6.61	Professional		$6.10	$6.61	$6.61
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $856.80 / $856.80	Facility		$100.00	$856.80	$856.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $86.76 / $86.76	Professional		$81.39	$86.76	$86.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $26.43	Facility		$14.82	$14.82	$26.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Professional		$10.90	$10.90	$10.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $24.90	Facility		$14.82	$14.82	$24.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.30 / $9.90	Professional		$4.69	$5.30	$9.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45