Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $72.73 / $74.13	Facility		$71.33	$72.73	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $74.13 / $120.29	Professional		$69.64	$74.13	$120.29
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 $80.89 / $104.93 / $104.93	Professional		$80.89	$104.93	$104.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $133.22 / $133.22	Facility		$133.22	$133.22	$133.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $272.93 / $620.42 / $620.42	Facility		$272.93	$620.42	$620.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.40 / $1,067.99 / $1,067.99	Professional		$1,040.40	$1,067.99	$1,067.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $130.83 / $153.07	Facility		$63.06	$130.83	$153.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $113.25 / $153.25	Professional		$62.22	$113.25	$153.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $76.59 / $143.66	Professional		$76.59	$76.59	$143.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $130.83 / $147.13	Facility		$63.06	$130.83	$147.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $117.71 / $140.13	Professional		$81.40	$117.71	$140.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $119.07 / $133.22	Professional		$117.31	$119.07	$133.22