Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $84.90 / $86.53	Facility		$83.26	$84.90	$86.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $86.53 / $154.40	Professional		$81.63	$86.53	$154.40
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 $111.02 / $111.02 / $111.02	Professional		$111.02	$111.02	$111.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $186.44 / $186.44	Facility		$186.44	$186.44	$186.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $116.51	Professional		$85.05	$85.05	$116.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.90 / $1,180.80 / $1,180.80	Facility		$466.90	$1,180.80	$1,180.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.23 / $1,203.17 / $1,398.30	Professional		$1,193.23	$1,203.17	$1,398.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $139.97 / $186.44	Facility		$60.05	$139.97	$186.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $171.52 / $228.79	Professional		$60.05	$171.52	$228.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $190.18 / $419.49	Professional		$65.00	$190.18	$419.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $116.51 / $186.44	Facility		$60.05	$116.51	$186.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $145.93	Professional		$85.05	$85.05	$145.93
United Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $92.18 / $108.52	Facility		$71.47	$92.18	$108.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $112.09 / $133.44	Professional		$77.52	$112.09	$133.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $111.76 / $186.44	Professional		$111.70	$111.76	$186.44