Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $251.19 / $645.65	Facility		$102.33	$251.19	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $162.18	Professional		$83.18	$109.65	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $81.28	Professional		$64.57	$64.57	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $758.58	Facility		$181.97	$436.52	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $74.13 / $131.83	Professional		$5.01	$74.13	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $154.88	Facility		$134.90	$134.90	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $281.84 / $691.83	Facility		$85.11	$281.84	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $229.09	Professional		$69.18	$97.72	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $251.19	Facility		$100.00	$134.90	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $169.82	Professional		$81.28	$117.49	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $114.82	Professional		$32.36	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $380.19	Facility		$97.72	$134.90	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $229.09	Professional		$77.62	$97.72	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $134.90	Facility		$48.98	$74.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $97.72	Professional		$40.74	$63.10	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $134.90	Professional		$52.48	$52.48	$134.90