Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $489.78	Facility		$41.69	$50.12	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $707.95	Professional		$32.36	$50.12	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $501.19	Professional		$288.40	$389.05	$501.19
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 Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $691.83	Professional		$338.84	$478.63	$691.83
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 $1,819.70 / $3,801.89 / $3,801.89	Professional		$1,819.70	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,818.38 / $5,370.32	Facility		$338.84	$2,818.38	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $478.63 / $812.83	Professional		$40.74	$478.63	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $54.95	Professional		$13.18	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $6,165.95	Facility		$1,819.70	$3,019.95	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $660.69	Professional		$338.84	$478.63	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11