Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $660.69	Facility		$41.69	$50.12	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $977.24	Professional		$32.36	$50.12	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $724.44	Professional		$407.38	$549.54	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $323.59 / $323.59	Facility		$39.81	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,000.00	Professional		$478.63	$691.83	$1,000.00
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 $2,454.71 / $5,248.07 / $5,248.07	Professional		$2,454.71	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,454.71 / $5,370.32	Facility		$43.65	$2,454.71	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $660.69 / $1,122.02	Professional		$40.74	$660.69	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $707.95 / $1,318.26	Professional		$181.97	$707.95	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $54.95	Professional		$16.22	$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 $478.63 / $676.08 / $954.99	Professional		$478.63	$676.08	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11