Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $12.00	Facility		$11.88	$11.88	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.71	Professional		$11.88	$11.88	$12.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $30.00 / $59.65	Facility		$12.24	$30.00	$59.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.88 / $11.88	Facility		$11.21	$11.88	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.16 / $1,591.16 / $1,591.16	Professional		$1,591.16	$1,591.16	$1,591.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $11.70 / $25.24	Facility		$4.62	$11.70	$25.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.85	Professional		$11.88	$11.88	$14.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $16.52 / $148.10	Professional		$12.90	$16.52	$148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $11.88 / $21.40	Facility		$4.62	$11.88	$21.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.71	Professional		$11.88	$11.88	$14.71
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.88 / $16.04	Professional		$11.70	$11.88	$16.04