Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $602.56	Facility		$41.69	$50.12	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $891.25	Professional		$32.36	$50.12	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $660.69	Professional		$363.08	$501.19	$660.69
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 $436.52 / $616.60 / $891.25	Professional		$436.52	$616.60	$891.25
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 $2,238.72 / $4,786.30 / $4,786.30	Professional		$2,238.72	$4,786.30	$4,786.30
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 / $602.56 / $1,023.29	Professional		$41.69	$602.56	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $630.96 / $1,230.27	Professional		$162.18	$630.96	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $54.95	Professional		$16.22	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,570.40 / $5,888.44	Facility		$41.69	$2,570.40	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $851.14	Professional		$436.52	$616.60	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11