Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $34.17 / $34.83	Facility		$33.52	$34.17	$34.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $34.83 / $56.52	Professional		$32.20	$34.83	$56.52
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 $35.72 / $35.72 / $44.69	Professional		$35.72	$35.72	$44.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Facility		$75.06	$75.06	$75.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $43.58	Professional		$31.81	$31.81	$43.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.08 / $400.57 / $400.57	Facility		$368.08	$400.57	$400.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.11 / $446.11 / $561.53	Professional		$446.11	$446.11	$561.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $52.31 / $75.06	Facility		$22.47	$52.31	$75.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $66.26 / $75.06	Professional		$22.47	$66.26	$75.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $82.57 / $168.88	Professional		$75.06	$82.57	$168.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $50.15 / $75.06	Facility		$22.47	$50.15	$75.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $44.89	Professional		$31.81	$31.81	$44.89
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $41.94 / $49.93	Professional		$29.00	$41.94	$49.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $41.79 / $75.06	Professional		$41.79	$41.79	$75.06