Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $96.84 / $98.70	Facility		$94.98	$96.84	$98.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $98.70 / $186.23	Professional		$93.12	$98.70	$186.23
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 $101.22 / $101.22 / $126.64	Professional		$101.22	$101.22	$126.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $212.68 / $212.68	Facility		$212.68	$212.68	$212.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $476.41 / $1,107.57 / $1,107.57	Facility		$476.41	$1,107.57	$1,107.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.72 / $1,403.72 / $1,595.10	Professional		$1,403.72	$1,403.72	$1,595.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $147.16 / $212.68	Facility		$68.50	$147.16	$212.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $195.67 / $283.58	Professional		$68.50	$195.67	$283.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $225.62 / $814.56	Professional		$202.05	$225.62	$814.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $148.22 / $212.68	Facility		$68.50	$148.22	$212.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $160.02	Professional		$109.58	$109.58	$160.02
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $127.87 / $152.22	Professional		$88.42	$127.87	$152.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $127.73 / $212.68	Professional		$127.42	$127.73	$212.68