Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $54.72 / $55.77	Facility		$53.67	$54.72	$55.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $55.77 / $92.96	Professional		$52.62	$55.77	$92.96
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 $57.19 / $57.19 / $71.56	Professional		$57.19	$57.19	$71.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.17 / $120.17 / $120.17	Facility		$120.17	$120.17	$120.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $274.86 / $634.55 / $761.09	Facility		$274.86	$634.55	$761.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $868.91 / $889.74 / $901.28	Professional		$868.91	$889.74	$901.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $83.14 / $120.17	Facility		$38.70	$83.14	$120.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $109.43 / $137.75	Professional		$38.70	$109.43	$137.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $122.57 / $270.38	Professional		$45.10	$122.57	$270.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $80.29 / $120.17	Facility		$38.70	$80.29	$120.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $80.05	Professional		$54.82	$54.82	$80.05
United Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $70.41 / $86.01	Professional		$49.62	$70.41	$86.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.28 / $120.17	Professional		$72.00	$72.28	$120.17