Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $484.80	Facility		$42.00	$50.00	$484.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $484.80	Professional		$38.00	$45.00	$484.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $355.00 / $546.70	Professional		$298.20	$355.00	$546.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $40.00 / $80.00	Facility		$20.17	$40.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $490.00 / $689.50	Professional		$336.00	$490.00	$689.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $104.00 / $104.00	Facility		$82.00	$104.00	$104.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.24 / $1,802.24 / $3,840.00	Professional		$1,802.24	$1,802.24	$3,840.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $3,000.00 / $6,105.00	Facility		$105.80	$3,000.00	$6,105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $270.60 / $1,200.00	Professional		$164.00	$270.60	$1,200.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $23.24 / $76.29	Professional		$9.66	$23.24	$76.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $2,500.00 / $6,105.00	Facility		$105.80	$2,500.00	$6,105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $490.00 / $666.00	Professional		$350.00	$490.00	$666.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $55.00 / $82.40	Professional		$46.00	$55.00	$82.40