Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $3,570.00 / $12,040.00	Facility		$58.03	$3,570.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $40.70 / $60.95	Professional		$35.63	$40.70	$60.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $5,572.00 / $8,585.00	Facility		$527.00	$5,572.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $36.19 / $61.34	Professional		$34.54	$36.19	$61.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $36.21	Facility		$34.40	$34.40	$36.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $52.14 / $118.18	Professional		$39.44	$52.14	$118.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.80 / $2,000.00	Facility		$55.00	$140.80	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,174.30 / $3,744.05 / $3,867.61	Professional		$2,174.30	$3,744.05	$3,867.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $50.12 / $336.00	Facility		$35.33	$50.12	$336.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $61.38 / $75.06	Professional		$47.43	$61.38	$75.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $58.64 / $96.30	Professional		$24.15	$58.64	$96.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $50.34 / $336.00	Facility		$35.52	$50.34	$336.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.16 / $109.05	Professional		$39.90	$56.16	$109.05
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $44.00 / $76.56	Professional		$32.69	$44.00	$76.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $36.27 / $50.29	Professional		$31.75	$36.27	$50.29