Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $79.55 / $80.91	Facility		$75.41	$79.55	$80.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $78.43 / $113.93	Professional		$45.44	$78.43	$113.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.41 / $680.84 / $1,100.98	Facility		$278.41	$680.84	$1,100.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $9.74 / $11.46	Professional		$6.82	$9.74	$11.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $268.23 / $359.38	Facility		$268.01	$268.23	$359.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $942.75 / $942.75	Facility		$45.47	$942.75	$942.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $340.11 / $343.13	Professional		$340.11	$340.11	$343.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $148.02 / $194.33	Facility		$48.80	$148.02	$194.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $136.97	Professional		$20.23	$20.23	$136.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $80.91 / $194.33	Facility		$28.07	$80.91	$194.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.88 / $20.23	Professional		$7.35	$10.88	$20.23
United Facility/Professional Facility Modifier Low / Median / High Price $264.45 / $502.46 / $608.15	Facility		$264.45	$502.46	$608.15
United Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $117.43 / $149.07	Professional		$92.84	$117.43	$149.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $154.03 / $191.76	Professional		$136.97	$154.03	$191.76