Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $2,124.00 / $6,762.00	Facility		$103.30	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $82.65 / $106.82	Professional		$51.17	$82.65	$106.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $171.18 / $414.91	Facility		$87.80	$171.18	$414.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $79.02 / $130.72	Professional		$48.58	$79.02	$130.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.01 / $47.01 / $47.01	Facility		$47.01	$47.01	$47.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $95.11 / $167.31	Professional		$59.34	$95.11	$167.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $260.58 / $9,102.00 / $11,500.00	Facility		$260.58	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $703.73 / $724.05	Professional		$386.80	$703.73	$724.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $91.01 / $164.89	Facility		$53.14	$91.01	$164.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $96.26 / $146.62	Professional		$67.28	$96.26	$146.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $217.70 / $217.70	Professional		$217.70	$217.70	$217.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $91.84 / $174.63	Facility		$53.14	$91.84	$174.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $96.99 / $170.35	Professional		$60.93	$96.99	$170.35
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 $66.70 / $90.78 / $141.76	Professional		$66.70	$90.78	$141.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $80.87 / $113.32	Professional		$71.50	$80.87	$113.32