Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $15.23 / $16.67	Facility		$5.37	$15.23	$16.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $15.44 / $20.58	Professional		$10.22	$15.44	$20.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $26.38 / $64.48	Facility		$17.59	$26.38	$64.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
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 $14.12 / $14.12 / $27.54	Facility		$14.12	$14.12	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $110.59 / $111.63	Facility		$47.71	$110.59	$111.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $117.03 / $176.25	Professional		$117.03	$117.03	$176.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $18.38 / $29.31	Facility		$15.44	$18.38	$29.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $22.33 / $23.50	Professional		$19.87	$22.33	$23.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $27.02 / $46.30	Professional		$17.50	$27.02	$46.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $18.50 / $29.44	Facility		$15.44	$18.50	$29.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $19.54	Professional		$12.00	$12.00	$19.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $10.84 / $14.30	Professional		$8.31	$10.84	$14.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $23.50 / $31.73	Professional		$10.43	$23.50	$31.73