Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $269.15	Facility		$38.90	$95.50	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $77.62	Professional		$30.20	$42.66	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $43.65	Professional		$24.55	$24.55	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $165.96 / $316.23	Facility		$60.26	$165.96	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $28.18 / $43.65	Professional		$5.01	$28.18	$43.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $53.70	Facility		$51.29	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $104.71 / $275.42	Facility		$50.12	$104.71	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $79.43	Professional		$25.70	$29.51	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $95.50	Facility		$38.90	$51.29	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $69.18	Professional		$30.20	$45.71	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $43.65	Professional		$38.90	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $151.36	Facility		$38.90	$56.23	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $79.43	Professional		$25.70	$29.51	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.90 / $51.29	Facility		$18.62	$30.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $43.65	Professional		$21.88	$29.51	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $51.29	Professional		$19.95	$19.95	$51.29