Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $72.95 / $74.34	Facility		$71.54	$72.95	$74.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $74.34 / $120.64	Professional		$67.33	$74.34	$120.64
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 $76.23 / $95.39 / $95.39	Professional		$76.23	$95.39	$95.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $160.19 / $160.19	Facility		$160.19	$160.19	$160.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.74 / $742.11 / $742.11	Facility		$267.74	$742.11	$742.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.33 / $802.33 / $1,166.63	Professional		$802.33	$802.33	$1,166.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $111.64 / $160.19	Facility		$45.85	$111.64	$160.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $144.16 / $160.19	Professional		$45.85	$144.16	$160.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $160.19 / $367.63	Professional		$58.50	$160.19	$367.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $106.21 / $160.19	Facility		$45.85	$106.21	$160.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $91.63	Professional		$64.94	$64.94	$91.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $85.58 / $101.89	Professional		$59.19	$85.58	$101.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $86.70 / $160.19	Professional		$85.28	$86.70	$160.19