Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $96.54 / $98.39	Facility		$94.68	$96.54	$98.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $98.39 / $159.66	Professional		$89.11	$98.39	$159.66
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 $126.24 / $126.24 / $126.24	Professional		$126.24	$126.24	$126.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $212.02 / $212.02	Facility		$212.02	$212.02	$212.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.68 / $947.19 / $947.19	Facility		$365.68	$947.19	$947.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.23 / $1,138.23 / $1,351.05	Professional		$1,138.23	$1,138.23	$1,351.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $146.69 / $212.02	Facility		$58.02	$146.69	$212.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $190.82 / $220.55	Professional		$58.02	$190.82	$220.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $224.91 / $812.04	Professional		$56.80	$224.91	$812.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $141.66 / $212.02	Facility		$58.02	$141.66	$212.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $183.38	Professional		$85.07	$85.07	$183.38
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $108.30 / $128.93	Professional		$74.90	$108.30	$128.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $109.55 / $212.02	Professional		$107.93	$109.55	$212.02