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 $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $67.58	Professional		$49.33	$49.33	$67.58
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 / $81.31 / $121.69	Facility		$34.83	$81.31	$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 / $75.45 / $121.69	Facility		$34.83	$75.45	$121.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $72.04	Professional		$49.33	$49.33	$72.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $66.51 / $77.40	Professional		$44.96	$66.51	$77.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $64.79 / $121.69	Professional		$64.14	$64.79	$121.69