Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $68.63 / $79.66	Facility		$53.54	$68.63	$79.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $69.93 / $95.75	Professional		$56.37	$69.93	$95.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $89.74 / $157.90	Facility		$38.22	$89.74	$157.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $46.83 / $76.29	Professional		$23.73	$46.83	$76.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Facility		$27.36	$27.36	$27.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.60 / $265.83 / $294.88	Facility		$104.60	$265.83	$294.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $95.56 / $214.03	Professional		$65.05	$95.56	$214.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $672.75 / $672.75	Facility		$312.00	$672.75	$672.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $857.73 / $883.47 / $883.47	Professional		$857.73	$883.47	$883.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $97.97 / $196.29	Facility		$28.43	$97.97	$196.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $49.52 / $76.23	Professional		$27.36	$49.52	$76.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $51.07 / $138.55	Professional		$30.73	$51.07	$138.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $99.03 / $197.30	Facility		$28.50	$99.03	$197.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $104.80 / $2,250,000.00	Professional		$65.78	$104.80	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $161.47 / $271.49	Professional		$127.64	$161.47	$271.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.47 / $233.47 / $315.18	Professional		$233.47	$233.47	$315.18