Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.11 / $3,596.00 / $12,941.00	Facility		$87.11	$3,596.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $77.02 / $101.89	Professional		$66.78	$77.02	$101.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.93 / $115.60 / $427.45	Facility		$69.93	$115.60	$427.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $85.63 / $109.10	Professional		$54.72	$85.63	$109.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $93.18 / $135.36	Professional		$70.48	$93.18	$135.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $632.37 / $641.54 / $641.54	Professional		$632.37	$641.54	$641.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $90.39 / $180.00	Facility		$69.73	$90.39	$180.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $97.53 / $113.79	Professional		$84.53	$97.53	$113.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $101.50	Professional		$101.50	$101.50	$101.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $90.79 / $191.22	Facility		$69.73	$90.79	$191.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $96.28 / $149.99	Professional		$70.37	$96.28	$149.99
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,205.00 / $8,792.00	Facility		$385.00	$2,205.00	$8,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $74.66 / $119.42	Professional		$54.98	$74.66	$119.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $63.90 / $88.06	Professional		$55.49	$63.90	$88.06