Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $489.78	Facility		$41.69	$50.12	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $707.95	Professional		$32.36	$50.12	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $512.86	Professional		$281.84	$389.05	$512.86
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 $338.84 / $478.63 / $691.83	Professional		$338.84	$478.63	$691.83
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 $1,819.70 / $3,801.89 / $3,801.89	Professional		$1,819.70	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,398.83 / $5,370.32	Facility		$43.65	$2,398.83	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $489.78 / $812.83	Professional		$41.69	$489.78	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $501.19 / $977.24	Professional		$125.89	$501.19	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $54.95	Professional		$13.18	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,630.27 / $5,888.44	Facility		$41.69	$2,630.27	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $660.69	Professional		$338.84	$478.63	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11