Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $2,128.00 / $7,316.00	Facility		$139.91	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $85.20 / $127.20	Professional		$70.47	$85.20	$127.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $92.01 / $151.84	Professional		$72.73	$92.01	$151.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $73.77 / $100.12	Facility		$73.77	$73.77	$100.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $107.99 / $165.16	Professional		$86.44	$107.99	$165.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $12,000.00 / $12,000.00	Facility		$436.76	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $758.33 / $819.68	Professional		$640.40	$758.33	$819.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $100.67 / $140.55	Facility		$81.36	$100.67	$140.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $141.19 / $175.08	Professional		$94.13	$141.19	$175.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $100.57 / $129.00	Professional		$80.75	$100.57	$129.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $100.77 / $142.55	Facility		$79.23	$100.77	$142.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $114.84 / $180.31	Professional		$88.30	$114.84	$180.31
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $102.13 / $145.55	Professional		$76.22	$102.13	$145.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $91.52 / $126.63	Professional		$80.34	$91.52	$126.63