Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $16.14 / $16.46	Facility		$15.84	$16.14	$16.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $16.46 / $26.71	Professional		$14.97	$16.46	$26.71
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 $16.88 / $19.01 / $21.12	Professional		$16.88	$19.01	$21.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $24.27	Professional		$17.72	$17.72	$24.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $164.13 / $164.13	Facility		$80.00	$164.13	$164.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.29 / $177.29 / $258.00	Professional		$177.29	$177.29	$258.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $23.69 / $35.47	Facility		$10.14	$23.69	$35.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $31.92 / $35.47	Professional		$10.14	$31.92	$35.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $36.18 / $79.81	Professional		$27.14	$36.18	$79.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $23.69 / $35.47	Facility		$10.14	$23.69	$35.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $25.87	Professional		$17.72	$17.72	$25.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.93 / $22.54	Professional		$12.30	$18.93	$22.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.86 / $35.47	Professional		$18.43	$18.86	$35.47