Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $3,570.00 / $10,893.00	Facility		$124.37	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $83.95 / $124.11	Professional		$74.95	$83.95	$124.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.98 / $130.27 / $993.56	Facility		$85.98	$130.27	$993.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $94.67 / $131.90	Professional		$74.29	$94.67	$131.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $72.30 / $75.81	Facility		$72.30	$72.30	$75.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $2,024.00 / $4,619.00	Facility		$93.41	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $112.05 / $176.87	Professional		$84.76	$112.05	$176.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $386.08	Facility		$55.00	$55.00	$386.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.12 / $584.88 / $705.45	Professional		$573.12	$584.88	$705.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.14 / $96.59 / $183.77	Facility		$77.14	$96.59	$183.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $121.74 / $143.22	Professional		$91.51	$121.74	$143.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $141.30 / $203.90	Professional		$92.30	$141.30	$203.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $97.94 / $188.46	Facility		$77.28	$97.94	$188.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $117.83 / $204.35	Professional		$87.23	$117.83	$204.35
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $93.16 / $147.87	Professional		$69.58	$93.16	$147.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $78.83 / $106.22	Professional		$67.91	$78.83	$106.22