Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.52 / $2,071.00 / $7,316.00	Facility		$213.52	$2,071.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $459.75 / $459.75 / $1,763.84	Facility	50	$459.75	$459.75	$1,763.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $162.41 / $233.45	Professional		$105.24	$162.41	$233.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $159.47 / $629.69	Facility		$92.98	$159.47	$629.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $172.68 / $289.16	Professional		$102.72	$172.68	$289.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $99.23 / $99.23	Facility		$99.23	$99.23	$99.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.18 / $178.18 / $178.18	Facility		$178.18	$178.18	$178.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $196.27 / $323.36	Professional		$117.12	$196.27	$323.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $766.50	Facility		$55.00	$55.00	$766.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $807.76 / $1,330.32 / $1,559.55	Professional		$807.76	$1,330.32	$1,559.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $182.74 / $315.79	Facility		$107.63	$182.74	$315.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $202.14 / $314.16	Professional		$141.28	$202.14	$314.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $168.80 / $168.80	Professional		$168.80	$168.80	$168.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $183.13 / $338.28	Facility		$106.21	$183.13	$338.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $203.18 / $343.45	Professional		$118.27	$203.18	$343.45
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $204.47 / $313.37	Professional		$145.25	$204.47	$313.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.21 / $171.73 / $243.35	Professional		$153.21	$171.73	$243.35