Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $74.56 / $76.00	Facility		$73.13	$74.56	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $76.00 / $123.32	Professional		$70.51	$76.00	$123.32
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 $77.94 / $77.94 / $97.51	Professional		$77.94	$77.94	$97.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Facility		$163.77	$163.77	$163.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $85.16	Professional		$62.17	$62.17	$85.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $717.68 / $724.80 / $724.80	Facility		$717.68	$724.80	$724.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.66 / $810.66 / $1,066.80	Professional		$810.66	$810.66	$1,066.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $114.13 / $163.77	Facility		$43.89	$114.13	$163.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $138.49 / $163.77	Professional		$43.89	$138.49	$163.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $167.05 / $375.86	Professional		$150.34	$167.05	$375.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $109.42 / $163.77	Facility		$43.89	$109.42	$163.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $113.31	Professional		$62.17	$62.17	$113.31
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $81.93 / $97.54	Professional		$56.66	$81.93	$97.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $82.10 / $163.77	Professional		$81.64	$82.10	$163.77