Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $12.02	Facility		$10.96	$10.96	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.13	Professional		$10.96	$12.02	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $56.23	Facility		$12.02	$29.51	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $120.23 / $125.89	Facility		$11.75	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.75 / $11.75	Facility		$11.22	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.30 / $120.23	Facility		$11.75	$12.30	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $223.87	Professional		$10.96	$12.02	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $32.36	Professional		$11.75	$12.02	$32.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $21.88	Professional		$14.13	$16.22	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.30 / $138.04	Facility		$10.00	$12.30	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $125.89	Professional		$30.20	$74.13	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $125.89 / $125.89	Professional		$12.02	$125.89	$125.89