Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Professional		$14.05	$14.05	$14.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
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 $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $48.20 / $48.20	Professional		$48.20	$48.20	$48.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $25.05	Facility		$14.05	$14.05	$25.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $23.24 / $25.97	Professional		$22.16	$23.24	$25.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $14.05 / $21.08	Facility		$10.75	$14.05	$21.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $65.38 / $65.38	Professional		$65.38	$65.38	$65.38