Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $2,124.00 / $7,316.00	Facility		$122.40	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $87.89 / $133.33	Professional		$68.23	$87.89	$133.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $60.42 / $238.56	Facility		$34.69	$60.42	$238.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $83.30 / $120.50	Professional		$65.90	$83.30	$120.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $57.27 / $86.27	Facility		$57.27	$57.27	$86.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $50.57 / $52.22	Facility		$50.57	$50.57	$52.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $98.03 / $150.38	Professional		$71.20	$98.03	$150.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $488.82	Facility		$55.00	$55.00	$488.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $845.36 / $845.36	Professional		$587.00	$845.36	$845.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $94.05 / $159.50	Facility		$68.23	$94.05	$159.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $103.35 / $130.94	Professional		$75.79	$103.35	$130.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $86.34 / $105.79	Professional		$70.48	$86.34	$105.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $94.21 / $162.91	Facility		$67.66	$94.21	$162.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $100.10 / $158.47	Professional		$72.69	$100.10	$158.47
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $86.48 / $130.13	Professional		$67.23	$86.48	$130.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $79.41 / $111.01	Professional		$69.84	$79.41	$111.01