Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $109.65 / $292.25	Facility		$45.76	$109.65	$292.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $43.05 / $73.80	Professional		$34.44	$43.05	$73.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $169.13 / $319.80	Facility		$62.73	$169.13	$319.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $32.59 / $54.73	Professional		$5.00	$32.59	$54.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $61.50 / $61.50	Facility		$30.13	$61.50	$61.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $101.55 / $271.49	Facility		$40.07	$101.55	$271.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $31.29 / $89.09	Professional		$22.97	$31.29	$89.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $292.13 / $292.13	Facility		$98.40	$292.13	$292.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $61.50 / $67.65	Facility		$40.47	$61.50	$67.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $61.50 / $61.50	Professional		$44.76	$61.50	$61.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $61.50 / $141.28	Facility		$40.29	$61.50	$141.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $31.29 / $61.50	Professional		$22.03	$31.29	$61.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $25.83 / $36.90	Professional		$19.66	$25.83	$36.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $24.60 / $61.50	Professional		$23.99	$24.60	$61.50