Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.31 / $1,698.24	Facility		$2.69	$6.31	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.89	Professional		$3.02	$3.02	$3.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.01 / $13.49	Facility		$3.16	$5.01	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $4.79	Facility		$3.02	$3.02	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.16 / $6.92	Facility		$3.02	$3.16	$6.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.02 / $3.55	Professional		$2.95	$3.02	$3.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.76 / $30.20	Professional		$3.89	$6.76	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.39 / $7.76	Facility		$3.02	$3.39	$7.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.63	Professional		$3.09	$3.09	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.02 / $3.80	Professional		$2.95	$3.02	$3.80