Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $121.66 / $341.34	Facility		$48.66	$121.66	$341.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $52.84 / $83.42	Professional		$41.71	$52.84	$83.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Professional		$41.71	$41.71	$41.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $32.50 / $43.80	Professional		$5.00	$32.50	$43.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $69.52 / $69.52	Facility		$69.52	$69.52	$69.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $151.84 / $307.20	Facility		$48.58	$151.84	$307.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $56.02 / $105.84	Professional		$35.52	$56.02	$105.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $330.22 / $330.22	Facility		$111.23	$330.22	$330.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $69.52 / $76.47	Facility		$52.14	$69.52	$76.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $69.52 / $69.52	Professional		$62.57	$69.52	$69.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $69.52 / $191.96	Facility		$52.14	$69.52	$191.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $56.10 / $101.00	Professional		$35.52	$56.10	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $41.71	Professional		$29.20	$29.20	$41.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.81 / $69.52	Professional		$27.11	$27.81	$69.52