Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $239.88	Facility		$41.69	$50.12	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $354.81	Professional		$32.36	$50.12	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $218.78	Professional		$125.89	$169.82	$218.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $70.79	Facility		$39.81	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $302.00	Professional		$144.54	$208.93	$302.00
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 $891.25 / $1,905.46 / $1,905.46	Professional		$891.25	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $2,398.83 / $4,897.79	Facility		$42.66	$2,398.83	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $239.88 / $407.38	Professional		$41.69	$239.88	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $223.87 / $537.03	Professional		$54.95	$223.87	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $25.70 / $54.95	Professional		$5.62	$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 $144.54 / $208.93 / $295.12	Professional		$144.54	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11