Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $79.06 / $80.58	Facility		$77.54	$79.06	$80.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $80.58 / $127.60	Professional		$73.34	$80.58	$127.60
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 $82.64 / $82.64 / $103.39	Professional		$82.64	$82.64	$103.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $173.64 / $173.64	Facility		$173.64	$173.64	$173.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $290.17 / $804.26 / $804.26	Facility		$290.17	$804.26	$804.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.66 / $869.66 / $1,264.20	Professional		$869.66	$869.66	$1,264.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $120.12 / $173.64	Facility		$49.69	$120.12	$173.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $147.59 / $173.64	Professional		$49.69	$147.59	$173.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $56.30	Professional		$56.30	$56.30	$56.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $116.00 / $173.64	Facility		$49.69	$116.00	$173.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $111.13	Professional		$76.09	$76.09	$111.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $91.56 / $110.42	Professional		$64.15	$91.56	$110.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $93.03 / $173.64	Professional		$92.43	$93.03	$173.64