Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.97 / $2,124.00 / $6,762.00	Facility		$127.97	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $94.60 / $134.16	Professional		$45.58	$94.60	$134.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $118.20 / $481.52	Facility		$69.23	$118.20	$481.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $87.67 / $165.64	Professional		$44.24	$87.67	$165.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Facility		$41.28	$41.28	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $93.79 / $93.79	Facility		$93.79	$93.79	$93.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $117.20 / $194.19	Professional		$56.07	$117.20	$194.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $233.80	Facility		$55.00	$55.00	$233.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $745.52 / $862.20	Professional		$389.42	$745.52	$862.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $102.68 / $186.03	Facility		$48.38	$102.68	$186.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $109.95 / $179.91	Professional		$60.55	$109.95	$179.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $122.80 / $122.80	Professional		$122.80	$122.80	$122.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $104.36 / $192.32	Facility		$48.38	$104.36	$192.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $122.67 / $200.93	Professional		$56.22	$122.67	$200.93
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $123.58 / $197.69	Professional		$90.77	$123.58	$197.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $96.14 / $135.49	Professional		$85.30	$96.14	$135.49