Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $47.22 / $48.93	Facility		$44.68	$47.22	$48.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $48.92 / $78.91	Professional		$41.25	$48.92	$78.91
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 $41.55 / $46.75 / $51.94	Professional		$41.55	$46.75	$51.94
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 $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $69.84	Professional		$50.99	$50.99	$69.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.20 / $477.00 / $477.00	Facility		$460.20	$477.00	$477.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $635.77 / $735.45	Professional		$611.32	$635.77	$735.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $79.48 / $145.30	Facility		$43.24	$79.48	$145.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $43.24 / $79.48	Professional		$37.18	$43.24	$79.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $117.05 / $120.00	Professional		$111.60	$117.05	$120.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $69.84 / $138.88	Facility		$43.24	$69.84	$138.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $69.84	Professional		$50.99	$50.99	$69.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $55.85 / $105.12	Professional		$46.92	$55.85	$105.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $82.15 / $82.15	Professional		$82.15	$82.15	$82.15