Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $42.09 / $42.90	Facility		$41.28	$42.09	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $42.90 / $69.62	Professional		$38.86	$42.90	$69.62
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 $55.05 / $55.05 / $55.05	Professional		$55.05	$55.05	$55.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $92.45 / $92.45	Facility		$92.45	$92.45	$92.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $57.03	Professional		$41.63	$41.63	$57.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $428.17 / $428.17	Facility		$154.44	$428.17	$428.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.74 / $462.74 / $673.13	Professional		$462.74	$462.74	$673.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $61.75 / $92.45	Facility		$26.46	$61.75	$92.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $83.21 / $92.45	Professional		$26.46	$83.21	$92.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $94.30 / $208.01	Professional		$70.72	$94.30	$208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $57.03 / $92.45	Facility		$26.46	$57.03	$92.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $58.74	Professional		$41.63	$41.63	$58.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $49.38 / $58.79	Professional		$34.15	$49.38	$58.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $49.20 / $92.45	Professional		$48.09	$49.20	$92.45