Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $34.15 / $135.80	Facility		$32.86	$34.15	$135.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $34.15 / $64.90	Professional		$30.93	$34.15	$64.90
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 $35.02 / $43.81 / $43.81	Professional		$35.02	$43.81	$43.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $73.58 / $73.58	Facility		$73.58	$73.58	$73.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $44.45	Professional		$33.90	$33.90	$44.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $383.48 / $383.48	Facility		$140.38	$383.48	$383.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $475.99 / $475.99 / $540.90	Professional		$475.99	$475.99	$540.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $51.29 / $73.58	Facility		$23.23	$51.29	$73.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $66.22 / $96.16	Professional		$23.23	$66.22	$96.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $78.05 / $168.86	Professional		$73.58	$78.05	$168.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $49.18 / $73.58	Facility		$23.23	$49.18	$73.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $77.45	Professional		$33.90	$33.90	$77.45
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $43.36 / $51.62	Professional		$29.99	$43.36	$51.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $43.21 / $73.58	Professional		$42.24	$43.21	$73.58