Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $51.36 / $52.34	Facility		$50.37	$51.36	$52.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $52.34 / $84.93	Professional		$47.40	$52.34	$84.93
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 $53.68 / $53.68 / $53.68	Professional		$53.68	$53.68	$53.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $112.78 / $112.78	Facility		$112.78	$112.78	$112.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $61.48	Professional		$44.88	$44.88	$61.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.77 / $503.80 / $503.80	Facility		$196.77	$503.80	$503.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.26 / $558.26 / $794.48	Professional		$558.26	$558.26	$794.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $78.05 / $112.78	Facility		$31.69	$78.05	$112.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $98.38 / $112.78	Professional		$31.69	$98.38	$112.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $124.06 / $253.75	Professional		$112.78	$124.06	$253.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $75.37 / $112.78	Facility		$31.69	$75.37	$112.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $63.32	Professional		$44.88	$44.88	$63.32
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $59.09 / $70.42	Professional		$40.90	$59.09	$70.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $59.92 / $112.78	Professional		$58.94	$59.92	$112.78