Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $83.69 / $85.30	Facility		$82.08	$83.69	$85.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $86.91 / $149.66	Professional		$82.08	$86.91	$149.66
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 $87.48 / $109.44 / $109.44	Professional		$87.48	$109.44	$109.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.80 / $183.80 / $183.80	Facility		$183.80	$183.80	$183.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.34 / $1,009.99 / $1,009.99	Facility		$373.34	$1,009.99	$1,009.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,176.33 / $1,838.03	Professional		$1,176.33	$1,176.33	$1,838.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $128.09 / $183.80	Facility		$59.20	$128.09	$183.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $167.51 / $221.76	Professional		$59.20	$167.51	$221.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $196.85 / $421.83	Professional		$183.80	$196.85	$421.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $126.23 / $183.80	Facility		$59.20	$126.23	$183.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $130.02	Professional		$92.15	$92.15	$130.02
United Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $110.50 / $131.55	Professional		$76.42	$110.50	$131.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $111.78 / $183.80	Professional		$110.12	$111.78	$183.80