Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $2,124.00 / $7,513.00	Facility		$177.64	$2,124.00	$7,513.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $404.68 / $404.68 / $404.68	Facility	50	$404.68	$404.68	$404.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $120.24 / $204.70	Professional		$87.43	$120.24	$204.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $103.62 / $398.03	Facility		$55.44	$103.62	$398.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $132.49 / $183.18	Professional		$95.73	$132.49	$183.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $176.53 / $176.53	Facility		$94.71	$176.53	$176.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $178.35 / $178.35	Facility		$178.35	$178.35	$178.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $147.80 / $220.04	Professional		$104.89	$147.80	$220.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $526.91	Facility		$55.00	$55.00	$526.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,030.72 / $1,254.83	Professional		$876.00	$1,030.72	$1,254.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $130.79 / $205.53	Facility		$91.80	$130.79	$205.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.60 / $255.60	Professional		$134.97	$184.60	$255.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $168.95 / $322.58	Professional		$106.47	$168.95	$322.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $130.87 / $210.38	Facility		$91.80	$130.87	$210.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $155.38 / $238.02	Professional		$108.42	$155.38	$238.02
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 $88.56 / $122.39 / $201.47	Professional		$88.56	$122.39	$201.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $136.47 / $191.07	Professional		$121.19	$136.47	$191.07