Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $89.13 / $275.42	Facility		$33.88	$89.13	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $79.43	Professional		$30.90	$42.66	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $165.96 / $281.84	Facility		$63.10	$165.96	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $28.18 / $69.18	Professional		$5.01	$28.18	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Facility		$51.29	$51.29	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $93.33 / $229.09	Facility		$40.74	$93.33	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $95.50	Professional		$27.54	$35.48	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $389.05	Professional		$257.04	$389.05	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $223.87	Facility		$38.90	$51.29	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $40.74 / $64.57	Professional		$7.94	$40.74	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $51.29	Professional		$42.66	$42.66	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $151.36	Facility		$38.02	$56.23	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $95.50	Professional		$27.54	$42.66	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $51.29	Facility		$18.62	$21.38	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $38.02	Professional		$21.38	$26.92	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $51.29	Professional		$19.95	$42.66	$51.29