Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $455.88 / $1,279.05	Facility		$171.93	$455.88	$1,279.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $192.77 / $312.60	Professional		$145.88	$192.77	$312.60
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 $5.00 / $121.78 / $166.98	Professional		$5.00	$121.78	$166.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $260.50	Facility		$260.50	$260.50	$260.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.88 / $337.11 / $1,161.06	Facility		$167.88	$337.11	$1,161.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $211.62 / $402.21	Professional		$132.13	$211.62	$402.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $488.03 / $1,237.38 / $1,237.38	Facility		$488.03	$1,237.38	$1,237.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.50 / $1,302.50 / $1,953.75	Professional		$1,302.50	$1,302.50	$1,953.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $260.50 / $312.60	Facility		$182.35	$260.50	$312.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $260.50 / $325.63	Professional		$247.48	$260.50	$325.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $312.60 / $586.12	Professional		$169.32	$312.60	$586.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $260.50 / $362.10	Facility		$181.81	$260.50	$362.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $260.50 / $402.21	Professional		$132.88	$260.50	$402.21
United Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $260.50 / $312.60	Facility		$109.41	$260.50	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $185.09	Professional		$109.41	$109.41	$185.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $104.20 / $260.50	Professional		$101.60	$104.20	$260.50