Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $40.68 / $41.46	Facility		$39.90	$40.68	$41.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $41.46 / $66.43	Professional		$37.74	$41.46	$66.43
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 $42.52 / $42.52 / $53.20	Professional		$42.52	$42.52	$53.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Professional		$40.89	$40.89	$40.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $149.30 / $413.81 / $413.81	Facility		$149.30	$413.81	$413.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $447.50 / $447.50 / $650.40	Professional		$447.50	$447.50	$650.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $62.26 / $89.34	Facility		$25.57	$62.26	$89.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $80.41 / $89.34	Professional		$25.57	$80.41	$89.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $89.34 / $205.04	Professional		$33.20	$89.34	$205.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $57.06 / $89.34	Facility		$25.57	$57.06	$89.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $72.11	Professional		$40.89	$40.89	$72.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $48.82 / $56.82	Professional		$33.00	$48.82	$56.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $47.56 / $89.34	Professional		$46.49	$47.56	$89.34