Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $42.09 / $42.90	Facility		$41.28	$42.09	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $42.90 / $78.59	Professional		$39.06	$42.90	$78.59
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 $44.00 / $44.00 / $55.05	Professional		$44.00	$44.00	$55.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $92.45 / $92.45	Facility		$92.45	$92.45	$92.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $61.54	Professional		$44.92	$44.92	$61.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $428.17 / $428.17	Facility		$217.15	$428.17	$428.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $673.13 / $839.24 / $872.80	Professional		$673.13	$839.24	$872.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $69.39 / $121.77	Facility		$26.46	$69.39	$121.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $83.21 / $92.45	Professional		$26.46	$83.21	$92.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $92.45 / $212.18	Professional		$48.30	$92.45	$212.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $61.75 / $115.31	Facility		$26.46	$61.75	$115.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $73.22	Professional		$44.92	$44.92	$73.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $48.74 / $58.79	Professional		$34.15	$48.74	$58.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.20 / $92.45	Professional		$49.10	$49.20	$92.45