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 $19.17 / $23.87 / $32.33	Professional		$19.17	$23.87	$32.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Facility		$23.16	$23.16	$23.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $32.61 / $547.00	Facility		$26.08	$32.61	$547.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $33.64 / $54.02	Professional		$23.58	$33.64	$54.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $504.30 / $504.30	Facility		$58.53	$504.30	$504.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $406.00 / $406.00	Professional		$406.00	$406.00	$406.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $32.97 / $63.29	Facility		$24.05	$32.97	$63.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $36.63 / $43.09	Professional		$26.33	$36.63	$43.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Professional		$41.20	$41.20	$41.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $33.44 / $64.90	Facility		$24.05	$33.44	$64.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $34.22 / $55.68	Professional		$23.84	$34.22	$55.68
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 $21.66 / $30.09 / $46.96	Professional		$21.66	$30.09	$46.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $23.58 / $32.40	Professional		$20.43	$23.58	$32.40