Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $549.54	Facility		$41.69	$50.12	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $794.33	Professional		$30.20	$50.12	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $588.84	Professional		$323.59	$446.68	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $165.96 / $165.96	Facility		$39.81	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $794.33	Professional		$380.19	$549.54	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $4,365.16	Professional		$2,041.74	$4,365.16	$4,365.16
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 $40.74 / $537.03 / $912.01	Professional		$40.74	$537.03	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $562.34 / $1,096.48	Professional		$144.54	$562.34	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.70 / $54.95	Professional		$14.79	$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 $380.19 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11