Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.72 / $6.96	Facility		$6.36	$6.72	$6.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.85 / $9.86	Professional		$5.87	$6.85	$9.86
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 $14.89 / $14.89 / $14.89	Professional		$14.89	$14.89	$14.89
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 $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $90.05 / $104.63	Professional		$86.59	$90.05	$104.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $11.31 / $20.44	Facility		$6.11	$11.31	$20.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.11 / $11.31	Professional		$5.29	$6.11	$11.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $41.12 / $41.66	Professional		$38.04	$41.12	$41.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $11.31 / $23.24	Facility		$6.11	$11.31	$23.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
United Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $8.00 / $35.70	Facility		$6.68	$8.00	$35.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.95 / $14.85	Professional		$6.68	$7.95	$14.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $27.68 / $27.68	Professional		$26.46	$27.68	$27.68