Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $2,090.00 / $6,762.00	Facility		$90.64	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $73.48 / $105.94	Professional		$56.30	$73.48	$105.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $77.78 / $281.07	Facility		$45.48	$77.78	$281.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $72.02 / $115.90	Professional		$53.80	$72.02	$115.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $52.08 / $74.38	Facility		$52.08	$52.08	$74.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $63.15 / $1,652.00	Facility		$53.29	$63.15	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $90.22 / $159.10	Professional		$62.00	$90.22	$159.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $417.12	Facility		$55.00	$55.00	$417.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $538.79 / $631.88	Professional		$433.84	$538.79	$631.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $81.00 / $141.01	Facility		$57.43	$81.00	$141.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $98.25 / $131.00	Professional		$76.12	$98.25	$131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $92.80 / $197.10	Professional		$5.00	$92.80	$197.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $82.12 / $158.55	Facility		$57.43	$82.12	$158.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $100.02 / $184.78	Professional		$64.26	$100.02	$184.78
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $87.41 / $138.04	Professional		$64.95	$87.41	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $72.59 / $98.39	Professional		$62.12	$72.59	$98.39