Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $83.88	Facility		$4.54	$4.54	$83.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
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 $13.85 / $13.85 / $13.85	Professional		$13.85	$13.85	$13.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $90.00	Facility		$65.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $65.38 / $67.98	Professional		$44.00	$65.38	$67.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.89 / $15.27	Facility		$4.54	$6.89	$15.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.54 / $4.54	Professional		$4.00	$4.54	$4.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $115.47 / $118.42	Professional		$6.80	$115.47	$118.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.81 / $14.59	Facility		$4.54	$6.81	$14.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.02 / $11.05	Professional		$5.01	$6.02	$11.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $125.00 / $125.00	Professional		$94.30	$125.00	$125.00