Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $96.35 / $267.29	Facility		$39.04	$96.35	$267.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $39.25 / $60.42	Professional		$27.37	$39.25	$60.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $24.79 / $24.79	Professional		$24.79	$24.79	$24.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $178.67 / $336.28	Facility		$61.97	$178.67	$336.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $27.37 / $39.01	Professional		$5.00	$27.37	$39.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $54.22 / $54.22	Facility		$51.64	$54.22	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $94.67 / $236.66	Facility		$36.08	$94.67	$236.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $32.31 / $79.28	Professional		$26.25	$32.31	$79.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $757.56 / $757.56	Facility		$108.00	$757.56	$757.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $51.64 / $64.94	Facility		$39.25	$51.64	$64.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $51.64 / $63.94	Professional		$48.91	$51.64	$63.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $51.64 / $128.69	Facility		$39.25	$51.64	$128.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $39.29 / $74.59	Professional		$25.44	$39.29	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $29.59 / $42.73	Professional		$21.69	$29.59	$42.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.50 / $51.64	Professional		$20.14	$25.50	$51.64