Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $88.13 / $89.83	Facility		$86.44	$88.13	$89.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $89.83 / $120.22	Professional		$76.00	$89.83	$120.22
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 $92.12 / $92.12 / $115.25	Professional		$92.12	$92.12	$115.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $193.57 / $193.57	Facility		$193.57	$193.57	$193.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $757.74 / $876.23 / $876.23	Facility		$757.74	$876.23	$876.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $958.17 / $958.17 / $1,088.78	Professional		$958.17	$958.17	$1,088.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $129.34 / $193.57	Facility		$46.76	$129.34	$193.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $163.69 / $193.57	Professional		$46.76	$163.69	$193.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.61 / $227.06 / $316.89	Professional		$222.61	$227.06	$316.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $129.34 / $193.57	Facility		$46.76	$129.34	$193.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $107.06	Professional		$73.31	$73.31	$107.06
United Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $87.28 / $103.90	Professional		$60.36	$87.28	$103.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $86.97 / $193.57	Professional		$85.01	$86.97	$193.57