Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $303.00	Facility		$42.00	$50.00	$303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $303.00	Professional		$38.00	$45.00	$303.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $205.00 / $315.70	Professional		$168.10	$205.00	$315.70
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 $192.00 / $280.00 / $394.00	Professional		$192.00	$280.00	$394.00
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 $1,126.40 / $1,126.40 / $2,400.00	Professional		$1,126.40	$1,126.40	$2,400.00
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 $102.50 / $169.13 / $750.00	Professional		$102.50	$169.13	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $23.20 / $76.29	Professional		$5.52	$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 $200.00 / $288.00 / $396.00	Professional		$200.00	$288.00	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $55.00 / $84.00	Professional		$46.00	$55.00	$84.00