Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.82 / $2,124.00 / $6,762.00	Facility		$108.82	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $87.51 / $119.16	Professional		$60.99	$87.51	$119.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $63.34 / $219.12	Facility		$35.40	$63.34	$219.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $83.18 / $136.25	Professional		$58.48	$83.18	$136.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $55.31 / $55.31	Facility		$55.31	$55.31	$55.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $60.36 / $60.36	Facility		$60.36	$60.36	$60.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $102.86 / $170.93	Professional		$70.51	$102.86	$170.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $9,102.00 / $11,500.00	Facility		$309.75	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $1,950.30 / $1,950.30	Professional		$462.00	$1,950.30	$1,950.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $96.71 / $176.00	Facility		$63.50	$96.71	$176.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $112.28 / $151.15	Professional		$80.31	$112.28	$151.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $233.20 / $233.20	Professional		$233.20	$233.20	$233.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $97.75 / $182.25	Facility		$63.29	$97.75	$182.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $105.03 / $185.90	Professional		$72.23	$105.03	$185.90
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $94.74 / $151.55	Professional		$70.16	$94.74	$151.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $83.71 / $116.71	Professional		$73.70	$83.71	$116.71