Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $178.23 / $469.00	Facility		$66.86	$178.23	$469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $69.56 / $114.62	Professional		$53.49	$69.56	$114.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $57.31	Professional		$57.31	$57.31	$57.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $303.02 / $531.09	Facility		$110.18	$303.02	$531.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $50.63 / $85.01	Professional		$5.00	$50.63	$85.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $95.52 / $95.52	Facility		$93.03	$95.52	$95.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $199.93 / $425.76	Facility		$66.75	$199.93	$425.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $77.16 / $158.50	Professional		$50.56	$77.16	$158.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $453.72 / $453.72	Facility		$186.87	$453.72	$453.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $95.52 / $105.07	Facility		$69.56	$95.52	$105.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $95.52 / $95.52	Professional		$85.97	$95.52	$95.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $95.52 / $239.27	Facility		$69.56	$95.52	$239.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $80.90 / $136.55	Professional		$50.63	$80.90	$136.55
United Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $58.71 / $119.40	Facility		$33.43	$58.71	$119.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.62 / $77.69	Professional		$40.11	$46.62	$77.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $39.86 / $95.52	Professional		$37.25	$39.86	$95.52