Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $363.08	Facility		$41.69	$50.12	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $549.54	Professional		$32.36	$50.12	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $363.08	Professional		$204.17	$281.84	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $741.31 / $741.31	Facility		$39.81	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $1,548.82	Professional		$251.19	$398.11	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $2,884.03	Professional		$1,348.96	$2,884.03	$2,884.03
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 / $380.19 / $794.33	Professional		$41.69	$380.19	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $575.44	Professional		$223.87	$323.59	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $25.12 / $54.95	Professional		$8.91	$25.12	$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 $251.19 / $389.05 / $1,288.25	Professional		$251.19	$389.05	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11