Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $19.64 / $20.02	Facility		$19.26	$19.64	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $20.02 / $32.47	Professional		$18.22	$20.02	$32.47
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 $25.68 / $25.68 / $25.68	Professional		$25.68	$25.68	$25.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $43.14 / $43.14	Facility		$43.14	$43.14	$43.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $26.67	Professional		$19.47	$19.47	$26.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $199.79 / $199.79	Facility		$85.00	$199.79	$199.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $215.93 / $314.10	Professional		$215.93	$215.93	$314.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $28.82 / $43.14	Facility		$12.34	$28.82	$43.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $36.67 / $43.14	Professional		$12.34	$36.67	$43.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $44.00 / $97.06	Professional		$33.00	$44.00	$97.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $26.67 / $43.14	Facility		$12.34	$26.67	$43.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $34.17	Professional		$19.47	$19.47	$34.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $23.04 / $27.43	Professional		$15.94	$23.04	$27.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.96 / $43.14	Professional		$22.44	$22.96	$43.14