Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $363.60	Facility		$42.00	$50.00	$363.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $360.00	Professional		$38.00	$45.00	$360.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $255.00 / $387.60	Professional		$214.20	$255.00	$387.60
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 $240.00 / $350.00 / $492.50	Professional		$240.00	$350.00	$492.50
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 $1,351.68 / $1,351.68 / $2,880.00	Professional		$1,351.68	$1,351.68	$2,880.00
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 $123.00 / $202.95 / $900.00	Professional		$123.00	$202.95	$900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $23.20 / $76.29	Professional		$6.90	$23.20	$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 $250.00 / $352.25 / $490.00	Professional		$250.00	$352.25	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $56.00 / $90.00	Professional		$50.00	$56.00	$90.00