Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $16.36 / $32.11	Facility		$4.23	$16.36	$32.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.23 / $17.80	Professional		$4.19	$4.23	$17.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $216.65 / $448.05	Facility		$89.07	$216.65	$448.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $80.00	Facility		$14.37	$14.37	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.19 / $13.54	Facility		$3.95	$4.19	$13.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.34	Professional		$4.19	$4.19	$4.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.04 / $263.20 / $263.20	Facility		$175.04	$263.20	$263.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,115.14 / $3,115.14 / $3,115.14	Professional		$3,115.14	$3,115.14	$3,115.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $14.72 / $132.35	Facility		$4.19	$14.72	$132.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.26 / $6.91	Professional		$4.19	$4.26	$6.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $14.37 / $202.00	Professional		$4.26	$14.37	$202.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.40 / $131.41	Facility		$4.19	$4.40	$131.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $25.17	Professional		$4.19	$4.19	$25.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $4.68	Professional		$4.19	$4.44	$4.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.87 / $14.72	Professional		$4.19	$5.87	$14.72