Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $23.13 / $26.27	Facility		$18.52	$23.13	$26.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $26.26 / $49.05	Professional		$18.52	$26.26	$49.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $93.52 / $175.64	Facility		$36.20	$93.52	$175.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $27.07 / $27.07	Professional		$23.01	$27.07	$27.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $112.40 / $112.40	Facility		$27.07	$112.40	$112.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $158.63 / $158.63	Facility		$59.11	$158.63	$158.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $201.47 / $255.98	Professional		$201.47	$201.47	$255.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $32.47 / $71.06	Facility		$23.77	$32.47	$71.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $46.53 / $54.74	Professional		$33.45	$46.53	$54.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Professional		$36.64	$36.64	$36.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $32.77 / $74.56	Facility		$23.77	$32.77	$74.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $44.18	Professional		$27.97	$27.97	$44.18
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $34.54 / $55.08	Professional		$25.44	$34.54	$55.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $29.79 / $41.22	Professional		$25.95	$29.79	$41.22