Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.95 / $56.45	Facility		$2.88	$2.95	$56.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.95 / $3.42	Professional		$2.88	$2.95	$3.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $21.50 / $42.50	Facility		$8.50	$21.50	$42.50
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 $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $139.11 / $139.11	Facility		$75.00	$139.11	$139.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.17 / $484.17 / $484.17	Professional		$484.17	$484.17	$484.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $3.04 / $48.52	Facility		$1.46	$3.04	$48.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $35.15 / $67.43	Professional		$2.70	$35.15	$67.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.67 / $16.32	Professional		$9.44	$11.67	$16.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $3.06 / $48.52	Facility		$1.46	$3.06	$48.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $4.13	Professional		$3.06	$3.06	$4.13
United Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $85.14 / $85.14	Facility		$62.95	$85.14	$85.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $4.20	Professional		$3.00	$3.00	$4.20