Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.68 / $198.15 / $1,082.85	Facility		$154.68	$198.15	$1,082.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $195.18 / $265.58	Professional		$154.68	$195.18	$265.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.65 / $528.19 / $954.89	Facility		$230.65	$528.19	$954.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $104.01 / $279.29	Professional		$39.36	$104.01	$279.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $236.75 / $819.29	Facility		$122.59	$236.75	$819.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $92.51 / $167.83	Professional		$64.66	$92.51	$167.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $738.95 / $738.95	Facility		$191.43	$738.95	$738.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $565.13 / $565.13 / $688.13	Professional		$565.13	$565.13	$688.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $128.03 / $332.60	Facility		$29.07	$128.03	$332.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $50.66 / $75.65	Professional		$27.99	$50.66	$75.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $50.02 / $110.00	Professional		$31.46	$50.02	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $130.55 / $305.14	Facility		$29.35	$130.55	$305.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $96.99 / $2,250,000.00	Professional		$64.30	$96.99	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $241.93 / $394.08	Professional		$88.30	$241.93	$394.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $236.27 / $339.69	Professional		$213.40	$236.27	$339.69