Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $969.60	Facility		$42.00	$50.00	$969.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $969.60	Professional		$38.00	$45.00	$969.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.20 / $755.00 / $1,162.70	Professional		$634.20	$755.00	$1,162.70
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 $720.00 / $1,050.00 / $1,477.50	Professional		$720.00	$1,050.00	$1,477.50
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 $3,604.48 / $3,604.48 / $7,680.00	Professional		$3,604.48	$3,604.48	$7,680.00
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 $328.00 / $541.20 / $2,400.00	Professional		$328.00	$541.20	$2,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $23.33 / $76.29	Professional		$18.92	$23.33	$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 $750.00 / $1,050.00 / $1,425.00	Professional		$750.00	$1,050.00	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $56.00 / $89.00	Professional		$50.00	$56.00	$89.00