Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $1,900.00 / $6,386.00	Facility		$112.08	$1,900.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $81.52 / $165.78	Professional		$35.27	$81.52	$165.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $81.63 / $344.56	Facility		$42.05	$81.63	$344.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $81.45 / $135.88	Professional		$40.35	$81.45	$135.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $58.47 / $58.47	Facility		$58.47	$58.47	$58.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $112.83 / $112.83	Facility		$112.83	$112.83	$112.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $93.86 / $153.13	Professional		$47.52	$93.86	$153.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $315.45	Facility		$55.00	$55.00	$315.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $765.52 / $1,138.05	Professional		$433.00	$765.52	$1,138.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $98.37 / $170.38	Facility		$51.53	$98.37	$170.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $141.61 / $225.30	Professional		$84.94	$141.61	$225.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $110.50 / $110.50	Professional		$110.50	$110.50	$110.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $99.85 / $174.40	Facility		$51.81	$99.85	$174.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $97.49 / $155.97	Professional		$49.97	$97.49	$155.97
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 $66.06 / $92.85 / $149.46	Professional		$66.06	$92.85	$149.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $123.67 / $173.23	Professional		$109.88	$123.67	$173.23