Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $52.56 / $63.07	Professional		$45.76	$52.56	$63.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $51.44 / $76.53	Professional		$34.40	$51.44	$76.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Facility		$45.27	$45.27	$45.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $64.55 / $104.67	Professional		$49.81	$64.55	$104.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $1,300.00 / $1,300.00	Facility		$173.48	$1,300.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $515.00 / $515.00	Professional		$515.00	$515.00	$515.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $69.70 / $155.22	Facility		$48.97	$69.70	$155.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.94 / $79.26	Professional		$58.88	$67.94	$79.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $56.73 / $169.98	Professional		$44.97	$56.73	$169.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $70.15 / $155.22	Facility		$48.97	$70.15	$155.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $67.84 / $113.76	Professional		$49.81	$67.84	$113.76
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 $40.54 / $52.98 / $84.25	Professional		$40.54	$52.98	$84.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $44.52 / $60.55	Professional		$38.65	$44.52	$60.55