Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $42.50 / $44.03	Facility		$40.21	$42.50	$44.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $43.31 / $62.40	Professional		$37.11	$43.31	$62.40
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 $41.88 / $52.35 / $52.35	Professional		$41.88	$52.35	$52.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.18 / $429.26 / $429.26	Facility		$414.18	$429.26	$429.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.48 / $571.46 / $661.95	Professional		$549.48	$571.46	$661.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $71.53 / $130.56	Facility		$38.85	$71.53	$130.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $38.85 / $71.53	Professional		$33.47	$38.85	$71.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $129.65 / $132.91	Professional		$123.61	$129.65	$132.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $47.72 / $124.97	Facility		$38.85	$47.72	$124.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $50.30 / $93.87	Professional		$42.23	$50.30	$93.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $70.91 / $70.91	Professional		$70.91	$70.91	$70.91