Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.29 / $119.34	Facility		$19.03	$19.29	$119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $19.29 / $25.72	Professional		$12.78	$19.29	$25.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $31.99 / $80.34	Facility		$22.47	$31.99	$80.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $13.98 / $13.98	Professional		$13.98	$13.98	$13.98
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 $17.64 / $17.64 / $34.43	Facility		$17.64	$17.64	$34.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.64 / $138.01 / $139.56	Facility		$59.64	$138.01	$139.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $146.31 / $220.35	Professional		$146.31	$146.31	$220.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $23.12 / $36.63	Facility		$19.29	$23.12	$36.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $27.91 / $29.38	Professional		$24.97	$27.91	$29.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $36.40 / $57.90	Professional		$29.38	$36.40	$57.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $23.12 / $37.75	Facility		$19.55	$23.12	$37.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $24.42	Professional		$15.00	$15.00	$24.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.55 / $17.87	Professional		$10.38	$13.55	$17.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $29.38 / $39.65	Professional		$13.03	$29.38	$39.65