Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.53 / $17.87	Facility		$17.20	$17.53	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $17.87 / $29.00	Professional		$16.19	$17.87	$29.00
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 $18.32 / $18.32 / $22.93	Professional		$18.32	$18.32	$22.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Facility		$38.50	$38.50	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.38	Professional		$15.61	$15.61	$21.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $178.31 / $178.31	Facility		$80.00	$178.31	$178.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $192.88 / $192.88 / $280.20	Professional		$192.88	$192.88	$280.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $25.73 / $38.50	Facility		$11.02	$25.73	$38.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $32.79 / $38.50	Professional		$11.02	$32.79	$38.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $38.50 / $88.36	Professional		$29.45	$38.50	$88.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $23.15 / $38.50	Facility		$11.02	$23.15	$38.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $22.78	Professional		$15.61	$15.61	$22.78
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.30 / $24.48	Professional		$14.22	$20.30	$24.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.49 / $38.50	Professional		$20.03	$20.49	$38.50