Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $30.17 / $30.75	Facility		$29.59	$30.17	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $30.75 / $49.89	Professional		$29.10	$30.75	$49.89
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 $31.53 / $39.45 / $39.45	Professional		$31.53	$39.45	$39.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Facility		$66.25	$66.25	$66.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $40.76	Professional		$40.76	$40.76	$40.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $362.42 / $419.57	Facility		$165.26	$362.42	$419.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $504.72 / $547.28	Professional		$492.89	$504.72	$547.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $46.17 / $66.25	Facility		$21.33	$46.17	$66.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $60.95 / $66.25	Professional		$21.33	$60.95	$66.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $76.19 / $152.03	Professional		$23.00	$76.19	$152.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $46.17 / $66.25	Facility		$21.33	$46.17	$66.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $55.83	Professional		$40.76	$40.76	$55.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $39.83 / $47.41	Professional		$27.55	$39.83	$47.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $39.69 / $66.25	Professional		$39.64	$39.69	$66.25