Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $83.09 / $238.59	Facility		$69.23	$83.09	$238.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $98.15 / $136.05	Professional		$77.73	$98.15	$136.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $194.94 / $314.39	Facility		$77.39	$194.94	$314.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $96.58 / $135.93	Professional		$46.87	$96.58	$135.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.15 / $60.15 / $60.15	Facility		$60.15	$60.15	$60.15
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 $90.36 / $121.73 / $227.60	Professional		$90.36	$121.73	$227.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $249.84 / $529.82 / $602.25	Facility		$249.84	$529.82	$602.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.56 / $748.56 / $970.28	Professional		$748.56	$748.56	$970.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $140.97 / $214.95	Facility		$65.03	$140.97	$214.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $72.27 / $111.28	Professional		$60.15	$72.27	$111.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $168.50 / $212.30	Professional		$168.50	$168.50	$212.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $142.13 / $219.94	Facility		$65.30	$142.13	$219.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $124.24 / $1,800,000.00	Professional		$90.36	$124.24	$1,800,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Facility		$73.04	$73.04	$73.04
United Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $138.83 / $194.58	Professional		$109.60	$138.83	$194.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $117.49 / $155.09	Professional		$110.35	$117.49	$155.09