Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.57 / $102.51 / $110.71	Facility		$98.57	$102.51	$110.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $110.71 / $205.01	Professional		$100.74	$110.71	$205.01
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 $111.43 / $111.43 / $111.43	Professional		$111.43	$111.43	$111.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.13 / $234.13 / $234.13	Facility		$234.13	$234.13	$234.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.89 / $1,145.36 / $1,145.36	Facility		$1,050.89	$1,145.36	$1,145.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $1,925.48	Professional		$1,232.30	$1,232.30	$1,925.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $163.15 / $234.13	Facility		$62.01	$163.15	$234.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $206.12 / $234.13	Professional		$62.71	$206.12	$234.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $156.41 / $234.13	Facility		$62.01	$156.41	$234.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $180.49	Professional		$92.70	$92.70	$180.49
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $118.42 / $147.00	Professional		$80.05	$118.42	$147.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $117.63 / $234.13	Professional		$116.51	$117.63	$234.13