Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $19.25 / $28.00	Facility		$19.25	$19.25	$28.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $26.79 / $38.00	Professional		$19.23	$26.79	$38.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $20.00	Professional		$17.00	$20.00	$20.00
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 $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $122.12 / $126.59	Facility		$44.34	$122.12	$126.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $195.15	Professional		$149.71	$149.71	$195.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $29.22 / $57.00	Facility		$20.50	$29.22	$57.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Professional		$21.09	$21.09	$21.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $78.80 / $78.80	Professional		$64.80	$78.80	$78.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $29.22 / $55.65	Facility		$20.50	$29.22	$55.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
United Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.26 / $42.67	Professional		$19.50	$26.26	$42.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $38.00 / $53.20	Professional		$11.11	$38.00	$53.20