Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $2,128.00 / $7,513.00	Facility		$98.24	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $79.90 / $135.93	Professional		$41.72	$79.90	$135.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $126.14 / $254.72	Professional	50	$126.14	$126.14	$254.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $67.66 / $287.39	Facility		$38.97	$67.66	$287.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $71.14 / $130.60	Professional		$40.78	$71.14	$130.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $38.03 / $80.00	Facility		$38.03	$38.03	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $103.47 / $192.28	Professional		$51.16	$103.47	$192.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $291.62	Facility		$55.00	$55.00	$291.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Professional		$1,017.00	$1,017.00	$1,017.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $104.77 / $186.40	Facility		$46.08	$104.77	$186.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $92.20 / $141.47	Professional		$57.19	$92.20	$141.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $80.84 / $161.82	Professional		$43.85	$80.84	$161.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $104.79 / $190.83	Facility		$46.19	$104.79	$190.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $104.23 / $192.28	Professional		$53.15	$104.23	$192.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $99.75 / $166.70	Professional		$60.44	$99.75	$166.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $75.56 / $106.30	Professional		$67.08	$75.56	$106.30