Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $17.60 / $19.00	Facility		$13.37	$17.60	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.60 / $23.46	Professional		$11.66	$17.60	$23.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $15.31 / $17.13	Facility		$14.11	$15.31	$17.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Professional		$12.75	$12.75	$12.75
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 $14.17 / $14.17 / $31.39	Facility		$14.17	$14.17	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $125.85 / $127.25	Facility		$54.38	$125.85	$127.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $133.41 / $200.93	Professional		$133.41	$133.41	$200.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $20.98 / $33.42	Facility		$17.60	$20.98	$33.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $25.45 / $26.79	Professional		$22.77	$25.45	$26.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $33.20 / $52.80	Professional		$26.79	$33.20	$52.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $21.11 / $34.43	Facility		$17.82	$21.11	$34.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $12.37 / $16.30	Professional		$9.47	$12.37	$16.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $26.79 / $36.17	Professional		$11.90	$26.79	$36.17