Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $3,445.00 / $12,040.00	Facility		$78.86	$3,445.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $87.48 / $116.11	Professional		$54.66	$87.48	$116.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $81.68 / $138.41	Professional		$48.84	$81.68	$138.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $44.71 / $44.71	Facility		$44.71	$44.71	$44.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $97.63 / $165.76	Professional		$61.62	$97.63	$165.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $253.46	Facility		$55.00	$55.00	$253.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.92 / $1,029.88 / $1,060.78	Professional		$383.92	$1,029.88	$1,060.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $96.20 / $237.60	Facility		$54.22	$96.20	$237.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $87.75 / $144.91	Professional		$65.18	$87.75	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $97.77 / $238.89	Facility		$54.22	$97.77	$238.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $99.21 / $174.55	Professional		$63.61	$99.21	$174.55
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 $69.29 / $101.20 / $191.16	Professional		$69.29	$101.20	$191.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $80.17 / $112.36	Professional		$70.68	$80.17	$112.36