Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $363.08	Facility		$41.69	$50.12	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $537.03	Professional		$32.36	$50.12	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $354.81	Professional		$213.80	$281.84	$354.81
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 $794.33 / $794.33 / $1,202.26	Professional		$794.33	$794.33	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $2,884.03	Professional		$1,348.96	$2,884.03	$2,884.03
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 $41.69 / $363.08 / $616.60	Professional		$41.69	$363.08	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $371.54 / $758.58	Professional		$91.20	$371.54	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $54.95	Professional		$9.33	$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 $213.80 / $389.05 / $501.19	Professional		$213.80	$389.05	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11