Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $3,445.00 / $10,234.00	Facility		$72.34	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $70.17 / $94.12	Professional		$38.77	$70.17	$94.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $171.18 / $418.68	Facility		$87.22	$171.18	$418.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $63.71 / $111.82	Professional		$36.68	$63.71	$111.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $79.27 / $137.11	Professional		$45.07	$79.27	$137.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $197.13 / $9,102.00 / $11,500.00	Facility		$197.13	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.57 / $640.57 / $970.06	Professional		$640.57	$640.57	$970.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $78.33 / $144.12	Facility		$39.83	$78.33	$144.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $79.70 / $126.81	Professional		$50.47	$79.70	$126.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $198.60 / $198.60	Professional		$198.60	$198.60	$198.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $79.20 / $148.46	Facility		$39.83	$79.20	$148.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $82.30 / $137.37	Professional		$46.12	$82.30	$137.37
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 $57.46 / $79.00 / $124.74	Professional		$57.46	$79.00	$124.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $69.72 / $98.17	Professional		$61.84	$69.72	$98.17