Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.60 / $2,128.00 / $7,513.00	Facility		$196.60	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $153.32 / $234.52	Professional		$100.25	$153.32	$234.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $273.74 / $808.54	Professional	50	$273.74	$273.74	$808.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $140.27 / $543.33	Facility		$85.23	$140.27	$543.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $148.80 / $234.47	Professional		$98.74	$148.80	$234.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.37 / $92.28	Facility		$80.00	$90.37	$92.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $184.66	Facility		$184.66	$184.66	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $189.93 / $323.16	Professional		$119.54	$189.93	$323.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $532.00	Facility		$55.00	$55.00	$532.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.48 / $908.85 / $1,355.85	Professional		$784.48	$908.85	$1,355.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $159.41 / $274.06	Facility		$104.66	$159.41	$274.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $196.14 / $281.81	Professional		$137.09	$196.14	$281.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $177.28 / $234.70	Professional		$109.31	$177.28	$234.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $160.22 / $274.20	Facility		$105.16	$160.22	$274.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $198.21 / $333.89	Professional		$121.13	$198.21	$333.89
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 $133.66 / $183.80 / $304.61	Professional		$133.66	$183.80	$304.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $151.22 / $211.57	Professional		$133.62	$151.22	$211.57