Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.06 / $2,124.00 / $7,513.00	Facility		$199.06	$2,124.00	$7,513.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,847.36 / $2,847.75 / $2,847.75	Facility	50	$1,847.36	$2,847.75	$2,847.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $121.25 / $192.84	Professional		$72.22	$121.25	$192.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $881.32 / $1,818.90	Facility		$98.50	$881.32	$1,818.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $109.99 / $186.40	Professional		$69.12	$109.99	$186.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $71.17 / $80.00	Facility		$71.17	$71.17	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $149.83 / $256.49	Professional		$87.88	$149.83	$256.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $370.50	Facility		$55.00	$55.00	$370.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.40 / $629.54 / $1,099.13	Professional		$568.40	$629.54	$1,099.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $128.30 / $210.75	Facility		$74.80	$128.30	$210.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $150.63 / $238.86	Professional		$97.14	$150.63	$238.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $144.66 / $285.45	Professional		$78.11	$144.66	$285.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $128.55 / $224.70	Facility		$74.80	$128.55	$224.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $155.52 / $266.12	Professional		$89.30	$155.52	$266.12
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 $108.27 / $148.87 / $241.74	Professional		$108.27	$148.87	$241.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $124.41 / $173.97	Professional		$109.60	$124.41	$173.97