Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,682.00 / $10,893.00	Facility		$649.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $49.96 / $69.00	Professional		$38.47	$49.96	$69.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.54 / $148.77 / $290.57	Facility		$63.54	$148.77	$290.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $63.34 / $87.56	Professional		$48.47	$63.34	$87.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $45.72 / $45.72	Facility		$45.72	$45.72	$45.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $68.84 / $547.00	Facility		$54.66	$68.84	$547.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $71.55 / $107.20	Professional		$50.87	$71.55	$107.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $504.30 / $504.30	Facility		$122.92	$504.30	$504.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $812.00 / $812.00	Professional		$812.00	$812.00	$812.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $68.98 / $113.08	Facility		$51.91	$68.98	$113.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $79.68 / $93.74	Professional		$57.29	$79.68	$93.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $82.40 / $82.40	Professional		$82.40	$82.40	$82.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $69.22 / $117.55	Facility		$51.91	$69.22	$117.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $72.20 / $113.16	Professional		$51.11	$72.20	$113.16
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 $46.29 / $61.77 / $100.16	Professional		$46.29	$61.77	$100.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $51.11 / $70.08	Professional		$44.45	$51.11	$70.08