Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $256.81 / $747.79	Facility		$92.10	$256.81	$747.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $116.66 / $175.00	Professional		$85.96	$116.66	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $148.44 / $5,456.92	Facility		$75.23	$148.44	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $71.76 / $104.38	Professional		$5.00	$71.76	$104.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $153.50	Facility		$96.70	$96.70	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $249.45 / $653.66	Facility		$48.87	$249.45	$653.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $123.78 / $233.05	Professional		$78.22	$123.78	$233.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $729.13 / $729.13	Facility		$245.60	$729.13	$729.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $153.50 / $168.85	Facility		$115.13	$153.50	$168.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $153.50 / $153.50	Professional		$145.19	$153.50	$153.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $153.50 / $288.36	Facility		$102.80	$153.50	$288.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $123.96 / $223.00	Professional		$78.22	$123.96	$223.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $92.10	Professional		$64.47	$64.47	$92.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $61.40 / $153.50	Professional		$59.87	$61.40	$153.50