Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $152.79 / $423.79	Facility		$57.32	$152.79	$423.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $59.81 / $98.26	Professional		$45.85	$59.81	$98.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $49.13 / $49.13	Professional		$49.13	$49.13	$49.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $261.20 / $458.87	Facility		$94.44	$261.20	$458.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $43.40 / $80.23	Professional		$5.00	$43.40	$80.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $81.88 / $81.88	Facility		$79.73	$81.88	$81.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $171.37 / $365.40	Facility		$57.22	$171.37	$365.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $66.22 / $135.76	Professional		$43.26	$66.22	$135.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $388.93 / $388.93	Facility		$160.16	$388.93	$388.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $81.88 / $90.07	Facility		$45.85	$81.88	$90.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $81.88 / $81.88	Professional		$73.69	$81.88	$81.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $81.88 / $205.21	Facility		$49.13	$81.88	$205.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $69.30 / $117.29	Professional		$43.40	$69.30	$117.29
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.95 / $57.08	Professional		$34.39	$39.95	$57.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $34.18 / $81.88	Professional		$31.93	$34.18	$81.88