Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $20.92 / $22.59	Facility		$15.90	$20.92	$22.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $20.92 / $27.89	Professional		$13.86	$20.92	$27.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $36.03 / $87.42	Facility		$23.84	$36.03	$87.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
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 $19.14 / $19.14 / $37.33	Facility		$19.14	$19.14	$37.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $149.90 / $151.34	Facility		$64.68	$149.90	$151.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $158.66 / $238.95	Professional		$158.66	$158.66	$238.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $24.93 / $39.74	Facility		$20.92	$24.93	$39.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $30.27 / $31.86	Professional		$26.93	$30.27	$31.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $36.64 / $62.80	Professional		$23.80	$36.64	$62.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $25.07 / $39.88	Facility		$20.92	$25.07	$39.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $26.54	Professional		$16.27	$16.27	$26.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $14.69 / $19.37	Professional		$11.26	$14.69	$19.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $31.86 / $43.01	Professional		$14.13	$31.86	$43.01