Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $302.00	Facility		$41.69	$50.12	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $467.74	Professional		$32.36	$50.12	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $281.84	Professional		$162.18	$218.78	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $61.66	Facility		$39.81	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $398.11	Professional		$190.55	$275.42	$398.11
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 $1,122.02 / $2,398.83 / $2,398.83	Professional		$1,122.02	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,398.83 / $4,897.79	Facility		$43.65	$2,398.83	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $302.00 / $512.86	Professional		$39.81	$302.00	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $302.00 / $630.96	Professional		$72.44	$302.00	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $25.70 / $54.95	Professional		$7.41	$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 $190.55 / $275.42 / $389.05	Professional		$190.55	$275.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11