Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $23.84 / $24.30	Facility		$23.38	$23.84	$24.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $24.30 / $34.31	Professional		$22.13	$24.30	$34.31
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 $24.92 / $24.92 / $31.17	Professional		$24.92	$24.92	$31.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $52.36 / $52.36	Facility		$52.36	$52.36	$52.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $34.89	Professional		$25.47	$25.47	$34.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $242.56 / $242.56	Facility		$87.56	$242.56	$242.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $262.20 / $381.30	Professional		$262.20	$262.20	$381.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $34.99 / $52.36	Facility		$14.99	$34.99	$52.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $47.12 / $52.36	Professional		$14.99	$47.12	$52.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $34.89 / $52.36	Facility		$14.99	$34.89	$52.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $37.19	Professional		$25.47	$25.47	$37.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $27.98 / $33.31	Professional		$19.22	$27.98	$33.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.88 / $52.36	Professional		$27.25	$27.88	$52.36