Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $83.77 / $85.38	Facility		$82.16	$83.77	$85.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $85.38 / $120.82	Professional		$75.00	$85.38	$120.82
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 $87.55 / $87.55 / $109.54	Professional		$87.55	$87.55	$109.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.97 / $183.97 / $183.97	Facility		$183.97	$183.97	$183.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $86.21	Professional		$62.93	$62.93	$86.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.49 / $706.68 / $706.68	Facility		$261.49	$706.68	$706.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $910.65 / $1,304.25	Professional		$910.65	$910.65	$1,304.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $122.92 / $183.97	Facility		$44.44	$122.92	$183.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $155.57 / $183.97	Professional		$44.44	$155.57	$183.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $193.17 / $197.03	Professional		$193.17	$193.17	$197.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $122.92 / $183.97	Facility		$44.44	$122.92	$183.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $91.91	Professional		$62.93	$62.93	$91.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $81.88 / $98.75	Professional		$57.36	$81.88	$98.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $84.03 / $183.97	Professional		$82.66	$84.03	$183.97