Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.12 / $158.16 / $161.19	Facility		$155.12	$158.16	$161.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $161.19 / $261.58	Professional		$146.00	$161.19	$261.58
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 $165.31 / $165.31 / $165.31	Professional		$165.31	$165.31	$165.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $347.36 / $347.36 / $347.36	Facility		$347.36	$347.36	$347.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $192.91	Professional		$140.82	$140.82	$192.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $580.44 / $1,609.26 / $1,609.26	Facility		$580.44	$1,609.26	$1,609.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.90 / $1,742.90 / $2,529.23	Professional		$1,742.90	$1,742.90	$2,529.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $260.77 / $347.36	Facility		$99.43	$260.77	$347.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $319.57 / $347.36	Professional		$99.43	$319.57	$347.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $372.03 / $1,330.39	Professional		$347.36	$372.03	$1,330.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $215.34 / $347.36	Facility		$99.43	$215.34	$347.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $205.65	Professional		$140.82	$140.82	$205.65
United Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $185.60 / $220.96	Professional		$127.47	$185.60	$220.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $186.58 / $347.36	Professional		$184.96	$186.58	$347.36