Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $3,431.00 / $9,897.00	Facility		$85.84	$3,431.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $81.14 / $118.22	Professional		$52.85	$81.14	$118.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $68.81 / $282.68	Facility		$41.11	$68.81	$282.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $84.07 / $138.15	Professional		$52.58	$84.07	$138.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $67.80 / $67.80	Facility		$67.80	$67.80	$67.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $100.98 / $164.21	Professional		$62.35	$100.98	$164.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $274.08	Facility		$55.00	$55.00	$274.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $409.84 / $655.60 / $769.50	Professional		$409.84	$655.60	$769.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $97.49 / $170.06	Facility		$59.83	$97.49	$170.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $102.88 / $155.10	Professional		$71.90	$102.88	$155.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $114.40	Professional		$114.40	$114.40	$114.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $98.80 / $178.72	Facility		$59.83	$98.80	$178.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $103.25 / $177.16	Professional		$62.66	$103.25	$177.16
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 $69.98 / $97.01 / $157.06	Professional		$69.98	$97.01	$157.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $85.65 / $119.66	Professional		$75.64	$85.65	$119.66