Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.80 / $375.61 / $429.52	Facility		$317.80	$375.61	$429.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $396.11 / $589.73	Professional		$279.77	$396.11	$589.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.17 / $1,107.63 / $2,104.50	Facility		$399.17	$1,107.63	$2,104.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $63.54 / $527.08	Professional		$33.18	$63.54	$527.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Facility		$23.88	$23.88	$23.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $237.89 / $1,701.54	Facility		$109.22	$237.89	$1,701.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $79.34 / $141.43	Professional		$54.99	$79.34	$141.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $846.11 / $846.11	Facility		$164.43	$846.11	$846.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $846.11 / $846.11 / $846.11	Professional		$846.11	$846.11	$846.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $106.08 / $667.21	Facility		$24.85	$106.08	$667.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $43.22 / $64.51	Professional		$23.88	$43.22	$64.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $124.90	Professional		$124.90	$124.90	$124.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $109.30 / $599.96	Facility		$25.07	$109.30	$599.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $83.96 / $2,250,000.00	Professional		$54.62	$83.96	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $472.91 / $762.77	Professional		$75.31	$472.91	$762.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.74 / $524.52 / $754.35	Professional		$473.74	$524.52	$754.35