Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $34.67	Facility		$14.13	$22.39	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $66.07	Facility		$14.13	$35.48	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $79.43	Facility		$14.13	$14.13	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $25.70	Facility		$14.13	$15.85	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Professional		$14.13	$14.13	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $28.84 / $30.20	Professional		$0.60	$28.84	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $25.70	Facility		$14.13	$14.79	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.45	Facility		$14.13	$14.13	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.78	Professional		$14.13	$14.13	$17.78