Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $133.16 / $154.56	Facility		$103.88	$133.16	$154.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $138.47 / $196.81	Professional		$109.38	$138.47	$196.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $178.48 / $332.08	Facility		$74.14	$178.48	$332.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Facility		$53.45	$53.45	$53.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.96 / $265.83 / $294.88	Facility		$108.96	$265.83	$294.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $182.12 / $337.05	Professional		$127.61	$182.12	$337.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $836.52 / $836.52	Facility		$340.00	$836.52	$836.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.22 / $1,031.22 / $1,353.60	Professional		$1,031.22	$1,031.22	$1,353.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $185.13 / $282.08	Facility		$55.52	$185.13	$282.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $96.74 / $148.77	Professional		$53.45	$96.74	$148.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $266.30 / $266.30	Professional		$266.30	$266.30	$266.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $186.33 / $285.77	Facility		$55.59	$186.33	$285.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $198.64 / $2,250,000.00	Professional		$132.25	$198.64	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $168.06 / $283.06	Professional		$137.84	$168.06	$283.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $147.94 / $195.24	Professional		$138.22	$147.94	$195.24