Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $66.06 / $67.34	Facility		$64.80	$66.06	$67.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $67.34 / $109.17	Professional		$63.52	$67.34	$109.17
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 $76.41 / $76.41 / $98.83	Professional		$76.41	$76.41	$98.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $115.52 / $115.52	Facility		$115.52	$115.52	$115.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $128.79	Professional		$94.02	$94.02	$128.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.10 / $532.72 / $532.72	Facility		$211.10	$532.72	$532.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $814.14 / $814.14	Professional		$811.35	$814.14	$814.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $104.13 / $122.50	Facility		$39.29	$104.13	$122.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $98.19 / $132.85	Professional		$48.91	$98.19	$132.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $124.56 / $442.44	Professional		$115.52	$124.56	$442.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $100.51 / $128.79	Facility		$39.29	$100.51	$128.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $128.79	Professional		$94.02	$94.02	$128.79
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $109.17 / $136.46	Professional		$72.48	$109.17	$136.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $111.80 / $115.52	Professional		$105.27	$111.80	$115.52