Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $85.65 / $85.65	Professional		$85.65	$85.65	$85.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Facility		$117.00	$117.00	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.66 / $22.90	Professional		$10.13	$12.66	$22.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.00	Facility		$100.00	$100.00	$117.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $634.28 / $634.28 / $659.65	Professional		$634.28	$634.28	$659.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $163.69	Facility		$57.67	$57.67	$163.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $59.10 / $253.28	Professional		$51.90	$59.10	$253.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $163.69	Facility		$57.67	$57.67	$163.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $83.89 / $104.86	Professional		$52.43	$83.89	$104.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $377.20 / $509.22	Professional		$89.00	$377.20	$509.22