Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.95 / $26.45	Facility		$25.45	$25.95	$26.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $26.45 / $37.34	Professional		$24.08	$26.45	$37.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $33.94	Professional		$27.13	$27.13	$33.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Facility		$57.00	$57.00	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $31.65	Facility		$31.65	$31.65	$31.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $31.65	Professional		$23.10	$23.10	$31.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $264.05 / $264.05	Facility		$95.27	$264.05	$264.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $285.55 / $415.05	Professional		$285.55	$285.55	$415.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $38.08 / $57.00	Facility		$16.30	$38.08	$57.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $48.45 / $57.00	Professional		$16.30	$48.45	$57.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $57.00 / $130.81	Professional		$42.75	$57.00	$130.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $34.90 / $57.00	Facility		$16.30	$34.90	$57.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $33.74	Professional		$23.10	$23.10	$33.74
United Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $25.04 / $29.48	Facility		$19.42	$25.04	$29.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $30.45 / $36.25	Professional		$20.93	$30.45	$36.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.80 / $57.00	Professional		$30.35	$30.80	$57.00