Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $68.73 / $70.05	Facility		$67.41	$68.73	$70.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $70.05 / $110.95	Professional		$66.09	$70.05	$110.95
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 $71.84 / $71.84 / $89.88	Professional		$71.84	$71.84	$89.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Facility		$150.94	$150.94	$150.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $117.36	Professional		$85.67	$85.67	$117.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $791.34 / $889.01 / $889.01	Facility		$791.34	$889.01	$889.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $898.37 / $898.37 / $1,252.65	Professional		$898.37	$898.37	$1,252.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $105.19 / $150.94	Facility		$48.61	$105.19	$150.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $137.55 / $159.03	Professional		$48.61	$137.55	$159.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $173.58 / $247.11	Professional		$67.20	$173.58	$247.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $105.19 / $150.94	Facility		$48.61	$105.19	$150.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $126.78	Professional		$85.67	$85.67	$126.78
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $90.74 / $108.03	Professional		$62.39	$90.74	$108.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $94.06 / $150.94	Professional		$90.43	$94.06	$150.94