Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $74.13	Facility		$19.95	$50.12	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $33.11	Professional		$19.95	$20.89	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $389.05	Facility		$81.28	$204.17	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $79.43	Facility		$20.89	$20.89	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $20.89	Facility		$15.14	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $60.26	Facility		$20.89	$23.99	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $26.30	Professional		$19.95	$20.89	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $38.90	Professional		$29.51	$32.36	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $144.54	Professional		$0.60	$30.20	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $85.11	Facility		$20.89	$22.39	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $22.91	Professional		$20.42	$20.42	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.30	Facility		$20.89	$20.89	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $23.44	Professional		$20.89	$22.39	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $37.15	Professional		$20.89	$20.89	$37.15