Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $29.47 / $30.04	Facility		$28.90	$29.47	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $30.04 / $48.74	Professional		$27.34	$30.04	$48.74
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.72 / $64.72 / $64.72	Facility		$64.72	$64.72	$64.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $38.36	Professional		$28.00	$28.00	$38.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $299.70 / $299.70	Facility		$108.14	$299.70	$299.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $324.00 / $471.08	Professional		$324.00	$324.00	$471.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $43.23 / $64.72	Facility		$18.52	$43.23	$64.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $59.54 / $64.72	Professional		$18.52	$59.54	$64.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $66.01 / $145.62	Professional		$49.51	$66.01	$145.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $40.11 / $64.72	Facility		$18.52	$40.11	$64.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $39.51	Professional		$28.00	$28.00	$39.51
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $34.57 / $41.15	Professional		$23.91	$34.57	$41.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $35.02 / $64.72	Professional		$34.44	$35.02	$64.72