Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.08 / $85.30 / $95.38	Facility		$84.08	$85.30	$95.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $85.30 / $111.83	Professional		$66.88	$85.30	$111.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.77 / $31.63	Facility		$8.71	$14.77	$31.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.39 / $1,062.39 / $1,062.39	Facility		$1,062.39	$1,062.39	$1,062.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,835.25 / $2,441.87 / $5,503.61	Facility		$1,835.25	$2,441.87	$5,503.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,904.35 / $5,979.29 / $8,078.78	Professional		$4,904.35	$5,979.29	$8,078.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $562.95 / $1,606.80	Facility		$81.50	$562.95	$1,606.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.56 / $1,161.56 / $2,781.00	Professional		$1,161.56	$1,161.56	$2,781.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $245.46 / $1,106.76	Professional		$148.10	$245.46	$1,106.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $242.12 / $1,606.80	Facility		$80.73	$242.12	$1,606.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,438.66	Professional		$1,438.66	$1,438.66	$1,438.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $1,236.00 / $1,668.60	Professional		$59.38	$1,236.00	$1,668.60