Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $41.41 / $42.21	Facility		$40.61	$41.41	$42.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $42.21 / $71.63	Professional		$38.22	$42.21	$71.63
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 $43.29 / $54.16 / $54.16	Professional		$43.29	$54.16	$54.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $90.95 / $90.95	Facility		$90.95	$90.95	$90.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Professional		$39.43	$39.43	$39.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.58 / $458.27 / $547.49	Facility		$281.58	$458.27	$547.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $890.19 / $911.57 / $911.57	Professional		$890.19	$911.57	$911.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $63.39 / $90.95	Facility		$27.84	$63.39	$90.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $81.86 / $106.15	Professional		$27.84	$81.86	$106.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $100.05 / $204.64	Professional		$90.95	$100.05	$204.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $60.78 / $90.95	Facility		$27.84	$60.78	$90.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $88.25	Professional		$39.43	$39.43	$88.25
United Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $97.97 / $115.26	Facility		$97.97	$97.97	$115.26
United Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $51.97 / $61.87	Professional		$35.94	$51.97	$61.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.98 / $90.95	Professional		$51.80	$51.98	$90.95