Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $87.59 / $91.03	Facility		$87.14	$87.59	$91.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $91.03 / $147.71	Professional		$82.44	$91.03	$147.71
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 $93.35 / $93.35 / $116.79	Professional		$93.35	$93.35	$116.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $196.14 / $196.14 / $196.14	Facility		$196.14	$196.14	$196.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $327.85 / $908.81 / $908.81	Facility		$327.85	$908.81	$908.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $984.25 / $1,428.38	Professional		$984.25	$984.25	$1,428.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $147.26 / $196.14	Facility		$56.16	$147.26	$196.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $180.45 / $196.14	Professional		$56.16	$180.45	$196.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $208.06 / $751.22	Professional		$68.20	$208.06	$751.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $121.60 / $196.14	Facility		$56.16	$121.60	$196.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $158.36	Professional		$81.92	$81.92	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $104.83 / $124.79	Professional		$72.48	$104.83	$124.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $105.27 / $196.14	Professional		$104.46	$105.27	$196.14