Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $2,090.00 / $6,762.00	Facility		$100.13	$2,090.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,368.28 / $2,761.66 / $3,179.60	Facility	50	$1,368.28	$2,761.66	$3,179.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $91.55 / $159.19	Professional		$50.45	$91.55	$159.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.77 / $275.77 / $460.35	Professional	50	$275.77	$275.77	$460.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $1,291.16 / $2,679.76	Facility		$690.24	$1,291.16	$2,679.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $87.93 / $145.71	Professional		$49.86	$87.93	$145.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $883.60 / $883.60	Facility		$48.02	$883.60	$883.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $117.44 / $233.00	Professional		$63.71	$117.44	$233.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $11,500.00 / $12,000.00	Facility		$269.27	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,087.00 / $1,087.00	Professional		$1,087.00	$1,087.00	$1,087.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $110.27 / $221.13	Facility		$55.87	$110.27	$221.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $118.48 / $176.29	Professional		$69.38	$118.48	$176.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $99.77 / $197.32	Professional		$54.04	$99.77	$197.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $111.04 / $225.24	Facility		$55.94	$111.04	$225.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $119.39 / $235.92	Professional		$65.09	$119.39	$235.92
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $129.78 / $217.90	Professional		$78.84	$129.78	$217.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $91.30 / $128.28	Professional		$80.89	$91.30	$128.28