Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $660.69	Facility		$41.69	$50.12	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $1,000.00	Professional		$32.36	$50.12	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $741.31	Professional		$407.38	$549.54	$741.31
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 $478.63 / $691.83 / $1,000.00	Professional		$478.63	$691.83	$1,000.00
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 $2,454.71 / $5,248.07 / $5,248.07	Professional		$2,454.71	$5,248.07	$5,248.07
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 / $707.95 / $1,288.25	Professional		$41.69	$707.95	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $588.84 / $1,348.96	Professional		$144.54	$588.84	$1,348.96
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 $478.63 / $676.08 / $954.99	Professional		$478.63	$676.08	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11