Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $18.77 / $34.26	Facility		$12.11	$18.77	$34.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.53	Professional		$12.28	$12.28	$14.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $47.75 / $98.19	Facility		$20.64	$47.75	$98.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $80.00	Facility		$13.65	$13.65	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.28 / $23.05	Facility		$11.59	$12.28	$23.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.75	Professional		$12.28	$12.28	$12.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $110.12 / $110.12	Facility		$75.00	$110.12	$110.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $88.81 / $88.81	Professional		$88.81	$88.81	$88.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $12.28 / $34.32	Facility		$11.99	$12.28	$34.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.53 / $20.26	Professional		$12.28	$12.53	$20.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.74 / $30.71	Professional		$12.28	$14.74	$30.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $33.93	Facility		$12.28	$12.28	$33.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $29.36	Professional		$12.28	$12.28	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.02 / $13.67	Professional		$12.28	$13.02	$13.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.19 / $17.19	Professional		$11.99	$13.19	$17.19