Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.00 / $998.97 / $7,742.55	Facility		$794.00	$998.97	$7,742.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.85 / $1,047.08 / $1,334.76	Professional		$860.85	$1,047.08	$1,334.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.62 / $596.74 / $1,114.21	Facility		$246.62	$596.74	$1,114.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $280.10 / $839.66	Professional		$186.16	$280.10	$839.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $187.35 / $187.35	Facility		$80.00	$187.35	$187.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.80 / $936.02 / $3,324.00	Facility		$827.80	$936.02	$3,324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.67 / $1,319.99 / $1,992.33	Professional		$965.67	$1,319.99	$1,992.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.88 / $5,205.62 / $5,205.62	Facility		$1,901.88	$5,205.62	$5,205.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,610.61 / $6,610.61 / $8,420.48	Professional		$6,610.61	$6,610.61	$8,420.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.57 / $1,069.32 / $1,563.55	Facility		$385.57	$1,069.32	$1,563.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $532.48 / $532.48 / $908.32	Professional		$532.48	$532.48	$908.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.44 / $327.86 / $1,190.47	Professional		$211.44	$327.86	$1,190.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $1,069.60 / $1,568.68	Facility		$267.64	$1,069.60	$1,568.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.96 / $1,441.94 / $2,250,000.00	Professional		$1,004.96	$1,441.94	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.63 / $1,493.28 / $2,682.63	Professional		$759.63	$1,493.28	$2,682.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.48 / $541.34 / $745.47	Professional		$532.48	$541.34	$745.47