Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $67.61	Facility		$64.57	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $112.20	Professional		$61.66	$75.86	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $117.49	Facility		$79.43	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $245.47	Facility		$38.90	$93.33	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $112.20	Professional		$56.23	$72.44	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $117.49 / $245.47	Facility		$45.71	$117.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $165.96	Facility		$61.66	$87.10	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $138.04	Professional		$72.44	$109.65	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49