Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.24 / $2,071.00 / $7,513.00	Facility		$413.24	$2,071.00	$7,513.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.82 / $49.73 / $205.06	Facility	52	$41.82	$49.73	$205.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $317.86 / $449.17	Professional		$91.80	$317.86	$449.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.32 / $490.09 / $1,886.37	Facility		$292.32	$490.09	$1,886.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $332.40 / $620.04	Professional		$99.63	$332.40	$620.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $325.64 / $325.64	Facility		$92.29	$325.64	$325.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.02 / $542.02 / $542.02	Facility		$542.02	$542.02	$542.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $438.55 / $815.18	Professional		$126.60	$438.55	$815.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.84 / $977.84 / $1,003.12	Facility		$977.84	$977.84	$1,003.12
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $415.26 / $415.26	Facility	52	$388.74	$415.26	$415.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.67 / $3,012.64 / $3,517.95	Professional		$1,515.67	$3,012.64	$3,517.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $317.86 / $687.27	Facility		$102.06	$317.86	$687.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $446.19 / $730.13	Professional		$134.97	$446.19	$730.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $398.05 / $944.96	Professional		$114.74	$398.05	$944.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.13 / $345.63 / $880.12	Facility		$102.13	$345.63	$880.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $452.37 / $844.90	Professional		$129.40	$452.37	$844.90
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.57 / $524.88 / $828.17	Professional		$384.57	$524.88	$828.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $387.26 / $550.57	Professional		$346.19	$387.26	$550.57