Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.30 / $1,091.30 / $1,247.66	Facility		$923.30	$1,091.30	$1,247.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.76 / $1,150.61 / $1,666.99	Professional		$533.76	$1,150.61	$1,666.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.86 / $2,504.78 / $4,755.66	Facility		$967.86	$2,504.78	$4,755.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $166.39 / $1,543.39	Professional		$72.39	$166.39	$1,543.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $52.50	Facility		$52.50	$52.50	$52.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.62 / $915.44 / $5,272.06	Facility		$449.62	$915.44	$5,272.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $283.14 / $506.10	Professional		$196.92	$283.14	$506.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $521.89 / $3,586.95 / $3,586.95	Facility		$521.89	$3,586.95	$3,586.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,468.80 / $2,468.80 / $2,468.80	Professional		$2,468.80	$2,468.80	$2,468.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $380.75 / $1,899.68	Facility		$54.54	$380.75	$1,899.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $95.03 / $270.77	Professional		$52.50	$95.03	$270.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $98.85 / $302.70	Professional		$35.49	$98.85	$302.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $390.49 / $1,741.26	Facility		$54.99	$390.49	$1,741.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.53 / $297.55 / $2,250,000.00	Professional		$196.53	$297.55	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $1,183.56 / $2,316.40	Professional		$261.81	$1,183.56	$2,316.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,338.93 / $1,482.50 / $2,132.37	Professional		$1,338.93	$1,482.50	$2,132.37