Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.02 / $142.44 / $158.32	Facility		$142.02	$142.44	$158.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $152.91 / $264.39	Professional		$139.29	$152.91	$264.39
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 $271.33 / $271.33 / $373.10	Professional		$271.33	$271.33	$373.10
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 $264.32 / $409.07 / $409.07	Facility		$264.32	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,416.02 / $1,467.61 / $1,467.61	Facility		$1,416.02	$1,467.61	$1,467.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.49 / $1,871.49 / $2,262.98	Professional		$1,871.49	$1,871.49	$2,262.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.14 / $305.58 / $493.63	Facility		$177.14	$305.58	$493.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $188.38 / $514.11	Professional		$186.27	$188.38	$514.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $195.30 / $195.30	Professional		$195.30	$195.30	$195.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $305.58 / $493.14	Facility		$186.27	$305.58	$493.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $178.60 / $434.20	Professional		$144.36	$178.60	$434.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.66 / $335.15 / $335.15	Professional		$325.66	$335.15	$335.15