Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $177.70 / $181.12	Facility		$174.29	$177.70	$181.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $181.12 / $293.89	Professional		$164.04	$181.12	$293.89
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 $185.74 / $185.74 / $232.38	Professional		$185.74	$185.74	$232.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.28 / $390.28 / $390.28	Facility		$390.28	$390.28	$390.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $189.91	Professional		$138.63	$138.63	$189.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,586.19 / $1,632.96 / $1,632.96	Facility		$1,586.19	$1,632.96	$1,632.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.89 / $1,931.89 / $2,279.48	Professional		$1,931.89	$1,931.89	$2,279.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $269.86 / $390.28	Facility		$97.89	$269.86	$390.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $335.09 / $390.28	Professional		$97.89	$335.09	$390.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.57 / $409.79 / $895.70	Professional		$298.57	$409.79	$895.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $260.79 / $390.28	Facility		$97.89	$260.79	$390.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $202.45	Professional		$138.63	$138.63	$202.45
United Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $186.92 / $217.53	Professional		$126.35	$186.92	$217.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $185.10 / $390.28	Professional		$182.08	$185.10	$390.28