Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Facility		$19.95	$19.95	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $67.61	Professional		$19.95	$25.70	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $50.12	Facility		$20.89	$29.51	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $40.74	Professional		$19.50	$25.12	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $25.70 / $30.90	Professional		$0.60	$25.70	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $48.98	Facility		$20.89	$29.51	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $79.43	Professional		$23.99	$40.74	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $57.54	Professional		$46.77	$47.86	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $60.26	Professional		$40.74	$40.74	$60.26