Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.31 / $2,128.00 / $9,897.00	Facility		$288.31	$2,128.00	$9,897.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.21 / $216.23 / $347.49	Facility	54	$183.21	$216.23	$347.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $294.33 / $505.82	Professional		$248.53	$294.33	$505.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $167.03 / $666.84	Facility		$95.82	$167.03	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.94 / $340.63 / $476.81	Professional		$269.94	$340.63	$476.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $286.06 / $298.48 / $298.48	Facility		$286.06	$298.48	$298.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.60 / $382.12 / $586.29	Professional		$286.60	$382.12	$586.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,550.40	Facility		$55.00	$55.00	$1,550.40
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $1,085.28 / $1,085.28	Facility	54	$956.89	$1,085.28	$1,085.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.80 / $2,370.56 / $2,763.98	Professional		$2,150.80	$2,370.56	$2,763.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.31 / $345.12 / $553.32	Facility		$273.31	$345.12	$553.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.45 / $443.34 / $565.26	Professional		$371.45	$443.34	$565.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.72 / $531.89 / $1,131.60	Professional		$348.72	$531.89	$1,131.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $348.00 / $568.44	Facility		$273.48	$348.00	$568.44
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $594.86	Facility	54	$345.03	$345.03	$594.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $403.15 / $616.85	Professional		$294.14	$403.15	$616.85
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.11 / $324.82 / $494.96	Professional		$237.11	$324.82	$494.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $304.02 / $427.98	Professional		$270.27	$304.02	$427.98