Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $45.45 / $54.92	Facility		$35.97	$45.45	$54.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $50.92 / $72.05	Professional		$38.28	$50.92	$72.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,898.00 / $9,500.00 / $10,551.00	Facility		$4,898.00	$9,500.00	$10,551.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $58.41 / $82.16	Professional		$44.49	$58.41	$82.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $43.80 / $43.80	Facility		$43.80	$43.80	$43.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $73.55 / $108.81	Professional		$56.58	$73.55	$108.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $5,294.00 / $5,294.00	Facility		$114.24	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $421.65 / $558.82 / $581.17	Professional		$421.65	$558.82	$581.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $59.85 / $106.65	Facility		$47.71	$59.85	$106.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $73.26 / $87.91	Professional		$63.49	$73.26	$87.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $69.80 / $69.80	Professional		$69.80	$69.80	$69.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $62.24 / $114.43	Facility		$47.71	$62.24	$114.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $75.05 / $118.54	Professional		$53.69	$75.05	$118.54
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 $45.65 / $60.97 / $102.46	Professional		$45.65	$60.97	$102.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $47.88 / $65.66	Professional		$41.68	$47.88	$65.66