Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $15.44 / $16.00	Facility		$14.61	$15.44	$16.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.73 / $22.67	Professional		$13.48	$15.73	$22.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Professional		$14.97	$14.97	$14.97
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 $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $28.58	Professional		$20.86	$20.86	$28.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.43 / $155.94 / $155.94	Facility		$150.43	$155.94	$155.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $207.63 / $240.45	Professional		$199.64	$207.63	$240.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $25.98 / $47.38	Facility		$14.10	$25.98	$47.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $14.10 / $25.98	Professional		$12.16	$14.10	$25.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $29.42 / $32.86	Professional		$28.05	$29.42	$32.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $25.98 / $45.41	Facility		$14.10	$25.98	$45.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $28.58	Professional		$20.86	$20.86	$28.58
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $18.26 / $33.89	Professional		$15.34	$18.26	$33.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $64.19	Professional		$23.85	$23.85	$64.19