Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $56.38 / $57.47	Facility		$55.30	$56.38	$57.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $57.47 / $82.45	Professional		$48.24	$57.47	$82.45
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 $58.93 / $73.73 / $73.73	Professional		$58.93	$73.73	$73.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.82 / $123.82 / $123.82	Facility		$123.82	$123.82	$123.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $58.84	Professional		$42.95	$42.95	$58.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $476.85 / $476.85	Facility		$188.33	$476.85	$476.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $612.91 / $831.23	Professional		$612.91	$612.91	$831.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $82.73 / $123.82	Facility		$30.33	$82.73	$123.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $110.63 / $123.82	Professional		$30.33	$110.63	$123.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $136.19 / $278.60	Professional		$123.82	$136.19	$278.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $82.73 / $123.82	Facility		$30.33	$82.73	$123.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $62.73	Professional		$42.95	$42.95	$62.73
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $56.62 / $67.40	Professional		$39.15	$56.62	$67.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $57.19 / $123.82	Professional		$56.42	$57.19	$123.82