Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $89.07 / $90.78	Facility		$87.35	$89.07	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $90.78 / $147.30	Professional		$82.21	$90.78	$147.30
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 $93.09 / $93.09 / $116.47	Professional		$93.09	$93.09	$116.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.60 / $195.60 / $195.60	Facility		$195.60	$195.60	$195.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $129.63	Professional		$94.64	$94.64	$129.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $906.14 / $906.14	Facility		$326.91	$906.14	$906.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $979.57 / $979.57 / $1,424.48	Professional		$979.57	$979.57	$1,424.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $130.71 / $195.60	Facility		$55.99	$130.71	$195.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $176.04 / $195.60	Professional		$55.99	$176.04	$195.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $195.60 / $448.90	Professional		$61.80	$195.60	$448.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $129.63 / $195.60	Facility		$55.99	$129.63	$195.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $157.91	Professional		$94.64	$94.64	$157.91
United Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $106.91 / $124.42	Professional		$72.27	$106.91	$124.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $113.80 / $195.60	Professional		$104.15	$113.80	$195.60