Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $2,107.00 / $7,316.00	Facility		$118.46	$2,107.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $77.29 / $152.38	Professional		$40.02	$77.29	$152.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $75.45 / $339.14	Facility		$43.95	$75.45	$339.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $68.48 / $125.97	Professional		$39.71	$68.48	$125.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $80.00	Facility		$38.00	$38.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $74.15	Facility		$74.15	$74.15	$74.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $103.85 / $228.54	Professional		$50.84	$103.85	$228.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $299.70	Facility		$55.00	$55.00	$299.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,026.19	Professional		$1,017.00	$1,017.00	$1,026.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $104.76 / $216.06	Facility		$44.48	$104.76	$216.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $90.30 / $143.18	Professional		$55.08	$90.30	$143.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $79.19 / $155.25	Professional		$42.77	$79.19	$155.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $104.81 / $217.19	Facility		$44.48	$104.81	$217.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $105.34 / $226.41	Professional		$51.62	$105.34	$226.41
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 $64.12 / $123.34 / $207.73	Professional		$64.12	$123.34	$207.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $74.04 / $104.04	Professional		$65.70	$74.04	$104.04