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 / $25.12 / $66.07	Professional		$19.95	$25.12	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $36.31	Professional		$30.90	$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 $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $281.84	Professional		$199.53	$199.53	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $53.70	Facility		$20.89	$30.90	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $41.69	Professional		$19.05	$23.99	$41.69
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 / $53.70 / $53.70	Professional		$0.60	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $51.29	Facility		$21.38	$30.90	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $79.43	Professional		$24.55	$41.69	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $89.13	Professional		$50.12	$51.29	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $64.57	Professional		$43.65	$43.65	$64.57