Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $27.21	Facility		$26.94	$26.94	$27.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.29	Professional		$26.94	$26.94	$28.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $117.59 / $234.62	Facility		$46.46	$117.59	$234.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $25.88 / $25.88	Professional		$25.88	$25.88	$25.88
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 $25.42 / $26.94 / $26.94	Facility		$25.42	$26.94	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $133.71 / $133.71	Facility		$75.00	$133.71	$133.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $133.71 / $147.24	Professional		$133.71	$133.71	$147.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $26.09 / $48.52	Facility		$10.77	$26.09	$48.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $33.68	Professional		$26.94	$26.94	$33.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $26.70 / $205.54	Professional		$22.00	$26.70	$205.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $26.94 / $48.52	Facility		$11.29	$26.94	$48.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $35.59	Professional		$26.94	$26.94	$35.59
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $27.29	Professional		$26.94	$26.94	$27.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.94 / $36.36	Professional		$26.09	$26.94	$36.36