Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $96.10 / $97.95	Facility		$94.25	$96.10	$97.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $97.95 / $158.94	Professional		$89.18	$97.95	$158.94
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 $100.45 / $100.45 / $125.67	Professional		$100.45	$100.45	$125.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $211.06 / $211.06	Facility		$211.06	$211.06	$211.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $977.65 / $977.65	Facility		$352.65	$977.65	$977.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.91 / $1,056.91 / $1,537.05	Professional		$1,056.91	$1,056.91	$1,537.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $141.02 / $211.06	Facility		$60.40	$141.02	$211.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $189.95 / $211.06	Professional		$60.40	$189.95	$211.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $211.06 / $484.38	Professional		$77.00	$211.06	$484.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $141.02 / $211.06	Facility		$60.40	$141.02	$211.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $153.58	Professional		$108.85	$108.85	$153.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $112.75 / $134.22	Professional		$77.98	$112.75	$134.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $112.36 / $211.06	Professional		$111.51	$112.36	$211.06