Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13.28 / $27.99	Facility		$12.96	$13.28	$27.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.28 / $13.77	Professional		$12.96	$13.28	$13.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $13.77	Professional		$13.77	$13.77	$13.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $40.09	Professional		$40.09	$40.09	$40.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13.77 / $33.09	Facility		$12.96	$13.77	$33.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $271.99 / $381.29	Professional		$176.77	$271.99	$381.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13.61 / $28.92	Facility		$12.96	$13.61	$28.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.66	Professional		$13.25	$13.25	$13.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $17.91	Professional		$13.27	$13.27	$17.91