Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $162.32 / $165.44	Facility		$159.19	$162.32	$165.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $165.44 / $268.45	Professional		$150.62	$165.44	$268.45
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 $169.66 / $169.66 / $212.26	Professional		$169.66	$169.66	$212.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $356.49 / $356.49 / $356.49	Facility		$356.49	$356.49	$356.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $197.94	Professional		$144.50	$144.50	$197.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.74 / $1,651.29 / $1,651.29	Facility		$595.74	$1,651.29	$1,651.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $2,595.90	Professional		$1,785.33	$1,785.33	$2,595.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $248.45 / $356.49	Facility		$102.03	$248.45	$356.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $327.97 / $356.49	Professional		$102.03	$327.97	$356.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.26 / $374.31 / $623.86	Professional		$327.26	$374.31	$623.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $238.21 / $356.49	Facility		$102.03	$238.21	$356.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $211.02	Professional		$144.50	$144.50	$211.02
United Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $194.83 / $226.73	Professional		$131.69	$194.83	$226.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $198.35 / $356.49	Professional		$189.79	$198.35	$356.49