Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $3,445.00 / $10,234.00	Facility		$113.91	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $98.82 / $147.86	Professional		$58.42	$98.82	$147.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $120.67 / $480.20	Facility		$66.12	$120.67	$480.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $95.16 / $163.97	Professional		$55.00	$95.16	$163.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $52.74 / $52.74	Facility		$52.74	$52.74	$52.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $110.50 / $110.50	Facility		$110.50	$110.50	$110.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $115.84 / $195.87	Professional		$64.23	$115.84	$195.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $416.22	Facility		$55.00	$55.00	$416.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $438.80 / $856.84 / $922.95	Professional		$438.80	$856.84	$922.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $109.71 / $192.65	Facility		$59.20	$109.71	$192.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $116.71 / $185.68	Professional		$76.95	$116.71	$185.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $97.90	Professional		$97.90	$97.90	$97.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $110.46 / $209.51	Facility		$59.03	$110.46	$209.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $122.35 / $203.96	Professional		$65.56	$122.35	$203.96
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $122.56 / $192.75	Professional		$89.95	$122.56	$192.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $101.61 / $143.69	Professional		$90.55	$101.61	$143.69