Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $13.05 / $14.55	Facility		$9.23	$13.05	$14.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.04 / $16.01	Professional		$9.27	$13.04	$16.01
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 $24.14 / $24.14 / $24.14	Professional		$24.14	$24.14	$24.14
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 $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $157.46	Facility		$75.00	$100.00	$157.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $188.96	Professional		$159.56	$159.56	$188.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $20.84 / $31.88	Facility		$12.91	$20.84	$31.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $14.98 / $14.98	Professional		$14.98	$14.98	$14.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $46.73 / $49.76	Professional		$29.07	$46.73	$49.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $20.97 / $31.88	Facility		$13.05	$20.97	$31.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.52 / $18.66	Professional		$8.84	$10.52	$18.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $6.45	Professional		$4.78	$4.78	$6.45