Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $2,124.00 / $6,762.00	Facility		$89.45	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $66.62 / $90.14	Professional		$37.39	$66.62	$90.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $57.30 / $238.56	Facility		$32.40	$57.30	$238.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $61.05 / $104.90	Professional		$35.40	$61.05	$104.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $33.34 / $33.34	Facility		$33.34	$33.34	$33.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $61.29 / $61.29	Facility		$61.29	$61.29	$61.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $75.89 / $125.11	Professional		$43.41	$75.89	$125.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $219.80	Facility		$55.00	$55.00	$219.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $529.36 / $615.08 / $640.01	Professional		$529.36	$615.08	$640.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $71.70 / $109.80	Facility		$39.65	$71.70	$109.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $78.28 / $124.53	Professional		$48.78	$78.28	$124.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Professional		$77.70	$77.70	$77.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $72.44 / $121.20	Facility		$39.65	$72.44	$121.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $78.23 / $129.22	Professional		$44.19	$78.23	$129.22
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 $52.78 / $73.51 / $119.63	Professional		$52.78	$73.51	$119.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $68.59 / $96.31	Professional		$60.73	$68.59	$96.31