Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $977.24	Facility		$41.69	$50.12	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $1,445.44	Professional		$32.36	$50.12	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,096.48	Professional		$602.56	$831.76	$1,096.48
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 $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
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 $3,630.78 / $7,762.47 / $7,762.47	Professional		$3,630.78	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $2,238.72 / $5,370.32	Facility		$42.66	$2,238.72	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $977.24 / $1,621.81	Professional		$41.69	$977.24	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,047.13 / $1,862.09	Professional		$269.15	$1,047.13	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $54.95	Professional		$19.05	$26.30	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $2,570.40 / $5,888.44	Facility		$39.81	$2,570.40	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,412.54	Professional		$724.44	$1,023.29	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11