Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $424.20	Facility		$42.00	$50.00	$424.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $424.20	Professional		$38.00	$45.00	$424.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $305.00 / $469.70	Professional		$256.20	$305.00	$469.70
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 $288.00 / $420.00 / $591.00	Professional		$288.00	$420.00	$591.00
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 $1,576.96 / $1,576.96 / $3,360.00	Professional		$1,576.96	$1,576.96	$3,360.00
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 $143.50 / $236.78 / $1,050.00	Professional		$143.50	$236.78	$1,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $23.20 / $76.29	Professional		$8.27	$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 $300.00 / $420.00 / $582.75	Professional		$300.00	$420.00	$582.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $90.00	Professional		$50.00	$55.00	$90.00