Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $242.40	Facility		$42.00	$50.00	$242.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $242.40	Professional		$38.00	$45.00	$242.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $155.00 / $238.70	Professional		$127.10	$155.00	$238.70
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 $144.00 / $210.00 / $295.50	Professional		$144.00	$210.00	$295.50
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 $901.12 / $901.12 / $1,920.00	Professional		$901.12	$901.12	$1,920.00
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 $82.00 / $135.30 / $600.00	Professional		$82.00	$135.30	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $23.20 / $76.29	Professional		$4.13	$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 $150.00 / $216.00 / $309.00	Professional		$150.00	$216.00	$309.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $88.00	Professional		$50.00	$55.00	$88.00