Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $119.68 / $124.01	Facility		$113.25	$119.68	$124.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $121.96 / $175.73	Professional		$104.54	$121.96	$175.73
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 $85.19 / $85.19 / $85.19	Professional		$85.19	$85.19	$85.19
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 $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.45 / $1,208.97 / $1,208.97	Facility		$1,166.45	$1,208.97	$1,208.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.97 / $1,607.81 / $1,864.13	Professional		$1,545.97	$1,607.81	$1,864.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $201.44 / $367.47	Facility		$109.34	$201.44	$367.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $109.34 / $201.44	Professional		$94.25	$109.34	$201.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.85 / $312.39 / $320.25	Professional		$297.85	$312.39	$320.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $201.44 / $351.99	Facility		$109.34	$201.44	$351.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
United Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $141.57 / $265.85	Professional		$118.92	$141.57	$265.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $183.74	Professional		$183.74	$183.74	$183.74