Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $48.49 / $50.24	Facility		$45.89	$48.49	$50.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $49.41 / $71.20	Professional		$42.36	$49.41	$71.20
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 $102.37 / $102.37 / $102.37	Professional		$102.37	$102.37	$102.37
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 $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $54.79	Professional		$54.79	$54.79	$54.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $472.60 / $489.82 / $489.82	Facility		$472.60	$489.82	$489.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.45 / $650.47 / $755.25	Professional		$625.45	$650.47	$755.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $81.62 / $148.99	Facility		$44.33	$81.62	$148.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $44.33 / $81.62	Professional		$38.19	$44.33	$81.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $94.65 / $123.36	Professional		$68.13	$94.65	$123.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $75.05 / $142.60	Facility		$44.33	$75.05	$142.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $54.79	Professional		$54.79	$54.79	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $57.39 / $107.79	Professional		$48.18	$57.39	$107.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $93.66 / $155.11	Professional		$93.66	$93.66	$155.11