Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $275.42	Facility		$40.74	$109.65	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $72.44	Professional		$33.11	$46.77	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $309.03	Facility		$66.07	$173.78	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $33.11 / $79.43	Professional		$5.01	$33.11	$79.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Facility		$58.88	$58.88	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $109.65 / $263.03	Facility		$48.98	$109.65	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $100.00	Professional		$27.54	$39.81	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $436.52	Professional		$363.08	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $114.82	Facility		$44.67	$63.10	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $45.71 / $72.44	Professional		$7.94	$45.71	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $58.88	Professional		$48.98	$48.98	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $72.44 / $173.78	Facility		$43.65	$72.44	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $100.00	Professional		$27.54	$43.65	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $58.88	Facility		$20.89	$24.55	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $41.69	Professional		$24.55	$25.12	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $58.88	Professional		$22.91	$48.98	$58.88