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 / $537.03	Professional		$32.36	$50.12	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $371.54	Professional		$204.17	$281.84	$371.54
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 $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
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 / $363.08 / $616.60	Professional		$41.69	$363.08	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $309.03 / $575.44	Professional		$91.20	$309.03	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $54.95	Professional		$9.33	$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 $239.88 / $346.74 / $478.63	Professional		$239.88	$346.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11