Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $18.63 / $21.15	Facility		$14.35	$18.63	$21.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $18.89 / $25.68	Professional		$12.13	$18.89	$25.68
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 $13.69 / $13.69 / $13.69	Professional		$13.69	$13.69	$13.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $28.75	Facility		$20.04	$20.04	$28.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Facility		$21.76	$21.76	$21.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $22.29	Professional		$12.25	$12.25	$22.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $122.76 / $132.38	Facility		$85.00	$122.76	$132.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $150.47 / $209.03	Professional		$150.47	$150.47	$209.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $21.13 / $28.75	Facility		$8.23	$21.13	$28.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $25.88 / $28.75	Professional		$10.15	$25.88	$28.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $8.90 / $8.90	Professional		$8.90	$8.90	$8.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $20.17 / $28.75	Facility		$8.23	$20.17	$28.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $23.24	Professional		$12.25	$12.25	$23.24
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $15.35 / $18.28	Professional		$10.62	$15.35	$18.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $28.75	Professional		$12.46	$12.46	$28.75