Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $52.00 / $52.00	Professional		$50.00	$52.00	$52.00
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 $27.03 / $27.03 / $27.03	Professional		$27.03	$27.03	$27.03
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 $25.00 / $25.00 / $71.06	Facility		$25.00	$25.00	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $285.48 / $289.75	Facility		$102.48	$285.48	$289.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $303.77 / $457.50	Professional		$303.77	$303.77	$457.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $61.00 / $110.24	Facility		$52.00	$61.00	$110.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $57.95 / $61.00	Professional		$51.85	$57.95	$61.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $56.38 / $137.25	Professional		$47.40	$56.38	$137.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $61.00 / $110.24	Facility		$52.00	$61.00	$110.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $59.22	Professional		$21.25	$21.25	$59.22
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $35.53 / $59.22	Professional		$29.61	$35.53	$59.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $82.35	Professional		$61.00	$61.00	$82.35