Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $63.38 / $63.38	Facility		$56.06	$63.38	$63.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $65.81	Professional		$48.75	$48.75	$65.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.80 / $384.09 / $1,036.25	Facility		$147.80	$384.09	$1,036.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $115.05 / $115.05	Professional		$97.79	$115.05	$115.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Facility		$17.73	$17.73	$17.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $422.08 / $709.46	Professional		$70.20	$422.08	$709.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $908.26 / $908.26 / $908.26	Facility		$908.26	$908.26	$908.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $138.37	Facility		$48.75	$48.75	$138.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $216.75 / $216.75	Professional		$216.75	$216.75	$216.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $109.50	Professional		$100.00	$100.00	$109.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $136.99	Facility		$48.75	$48.75	$136.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $198.07	Professional		$70.20	$70.20	$198.07
United Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $134.06 / $134.06	Professional		$134.06	$134.06	$134.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $69.58 / $97.41	Professional		$69.58	$69.58	$97.41