Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $426.58	Facility		$41.69	$50.12	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $630.96	Professional		$32.36	$50.12	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $436.52	Professional		$245.47	$338.84	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $79.43	Facility		$20.42	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $602.56	Professional		$288.40	$416.87	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $3,388.44	Professional		$1,584.89	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,754.23 / $5,888.44	Facility		$295.12	$2,754.23	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $416.87 / $707.95	Professional		$40.74	$416.87	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $436.52 / $851.14	Professional		$109.65	$436.52	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.70 / $54.95	Professional		$11.22	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $6,165.95	Facility		$2,089.30	$3,162.28	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $575.44	Professional		$288.40	$416.87	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11