Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $2,124.00 / $7,316.00	Facility		$250.05	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $133.79 / $250.05	Professional		$40.74	$133.79	$250.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,673.00 / $4,063.00	Facility		$1,018.00	$2,673.00	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $239.70 / $346.80	Professional		$41.15	$239.70	$346.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $223.94	Facility		$38.11	$38.11	$223.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $162.16 / $344.71	Professional		$48.24	$162.16	$344.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $377.57 / $387.66	Facility		$55.00	$377.57	$387.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.67 / $1,739.48 / $1,948.02	Professional		$766.67	$1,739.48	$1,948.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $139.26 / $314.07	Facility		$42.34	$139.26	$314.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $101.27 / $372.41	Professional		$55.51	$101.27	$372.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $292.20 / $609.70	Professional		$27.40	$292.20	$609.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $144.79 / $320.43	Facility		$42.44	$144.79	$320.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $165.66 / $422.87	Professional		$50.64	$165.66	$422.87
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $202.82 / $334.50	Professional		$140.01	$202.82	$334.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $190.63 / $271.94	Professional		$170.88	$190.63	$271.94