Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $26.30	Professional		$23.99	$23.99	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $93.33	Facility		$19.95	$50.12	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $79.43	Facility		$19.50	$19.50	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.50 / $19.50	Facility		$18.20	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $134.90	Professional		$114.82	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.70 / $42.66	Facility		$23.99	$25.70	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $28.18	Professional		$23.99	$23.99	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $43.65	Professional		$26.30	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $42.66	Facility		$19.50	$25.70	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $25.12	Professional		$19.50	$25.12	$25.12