Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $63.04	Facility		$62.41	$62.41	$63.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $65.23	Professional		$62.41	$62.41	$65.23
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $62.41 / $62.41	Facility		$58.88	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $262.88 / $286.27	Facility		$97.50	$262.88	$286.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $332.08 / $371.52	Professional		$288.95	$332.08	$371.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $62.41 / $132.31	Facility		$59.81	$62.41	$132.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $78.01	Professional		$62.41	$62.41	$78.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $133.97 / $302.94	Professional		$67.41	$133.97	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $132.06	Facility		$62.41	$62.41	$132.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $85.50	Professional		$62.41	$62.41	$85.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $104.45 / $104.45	Facility		$77.23	$104.45	$104.45
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $63.22	Professional		$62.41	$62.41	$63.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $62.41 / $84.25	Professional		$59.54	$62.41	$84.25