Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $2,124.00 / $7,316.00	Facility		$79.98	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $61.80 / $92.98	Professional		$50.45	$61.80	$92.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $59.84 / $89.51	Professional		$47.34	$59.84	$89.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $44.87 / $57.62	Facility		$44.87	$44.87	$57.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $74.36 / $127.02	Professional		$52.13	$74.36	$127.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $714.13 / $817.17	Facility		$55.00	$714.13	$817.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $817.17 / $1,826.96 / $3,583.09	Professional		$817.17	$1,826.96	$3,583.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $70.25 / $162.49	Facility		$50.94	$70.25	$162.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $83.94 / $119.07	Professional		$64.75	$83.94	$119.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $116.90 / $460.60	Professional		$5.00	$116.90	$460.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $71.14 / $165.22	Facility		$51.40	$71.14	$165.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $82.45 / $154.82	Professional		$55.23	$82.45	$154.82
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.73 / $115.62	Professional		$51.82	$67.73	$115.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $54.28 / $75.87	Professional		$47.76	$54.28	$75.87