Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,172.00 / $7,513.00	Facility		$474.00	$2,172.00	$7,513.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.33 / $30.60 / $49.45	Facility	52	$26.33	$30.60	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $64.79 / $115.59	Professional		$53.05	$64.79	$115.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.51 / $1,291.16 / $2,752.85	Facility		$712.51	$1,291.16	$2,752.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $63.03 / $97.15	Professional		$48.99	$63.03	$97.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.57 / $59.57 / $80.00	Facility		$59.57	$59.57	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $72.65 / $72.65	Facility		$72.65	$72.65	$72.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $99.53 / $191.22	Professional		$67.28	$99.53	$191.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,710.90	Facility		$55.00	$55.00	$2,710.90
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $2,055.60 / $2,055.60	Facility	52	$157.69	$2,055.60	$2,055.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.72 / $1,398.72 / $1,398.72	Professional		$1,398.72	$1,398.72	$1,398.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $110.62 / $208.50	Facility		$60.56	$110.62	$208.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $96.51 / $117.33	Professional		$78.84	$96.51	$117.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $79.52 / $131.63	Professional		$60.84	$79.52	$131.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $110.95 / $208.50	Facility		$60.99	$110.95	$208.50
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $103.11 / $181.06	Professional		$67.79	$103.11	$181.06
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 $54.91 / $82.72 / $162.36	Professional		$54.91	$82.72	$162.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $61.81 / $85.06	Professional		$53.84	$61.81	$85.06