Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $55.41 / $56.48	Facility		$54.35	$55.41	$56.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $56.48 / $91.64	Professional		$51.15	$56.48	$91.64
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 $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $121.69 / $121.69	Facility		$121.69	$121.69	$121.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $563.71 / $563.71	Facility		$203.38	$563.71	$563.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $609.50 / $609.50 / $886.13	Professional		$609.50	$609.50	$886.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $87.10 / $121.69	Facility		$34.83	$87.10	$121.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $109.52 / $121.69	Professional		$34.83	$109.52	$121.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $124.12 / $273.80	Professional		$93.09	$124.12	$273.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $81.31 / $121.69	Facility		$34.83	$81.31	$121.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $86.67	Professional		$59.35	$59.35	$86.67
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $64.17 / $77.40	Professional		$44.96	$64.17	$77.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $64.81 / $121.69	Professional		$64.79	$64.81	$121.69