Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.26 / $61.57 / $63.79	Facility		$58.26	$61.57	$63.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $62.74 / $90.40	Professional		$53.78	$62.74	$90.40
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 $91.95 / $91.95 / $114.94	Professional		$91.95	$91.95	$114.94
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 $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $101.53	Professional		$101.53	$101.53	$101.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $621.91 / $621.91	Facility		$600.04	$621.91	$621.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $795.07 / $826.88 / $958.95	Professional		$795.07	$826.88	$958.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $103.62 / $189.00	Facility		$56.24	$103.62	$189.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $56.24 / $103.62	Professional		$48.48	$56.24	$103.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $346.43 / $355.28	Professional		$68.40	$346.43	$355.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $103.62 / $181.06	Facility		$56.24	$103.62	$181.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
United Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $72.86 / $136.33	Professional		$61.17	$72.86	$136.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $193.14 / $504.43	Professional		$162.57	$193.14	$504.43