Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $545.40	Facility		$42.00	$50.00	$545.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $545.40	Professional		$38.00	$45.00	$545.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.20 / $405.00 / $623.70	Professional		$340.20	$405.00	$623.70
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 $384.00 / $560.00 / $788.00	Professional		$384.00	$560.00	$788.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $405.00	Facility		$104.00	$104.00	$405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.52 / $2,027.52 / $4,320.00	Professional		$2,027.52	$2,027.52	$4,320.00
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 $184.50 / $304.43 / $1,350.00	Professional		$184.50	$304.43	$1,350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $23.24 / $76.29	Professional		$11.04	$23.24	$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 $400.00 / $560.00 / $760.00	Professional		$400.00	$560.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $56.00 / $88.76	Professional		$48.00	$56.00	$88.76