Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $588.84	Facility		$93.33	$245.47	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $302.00	Professional		$173.78	$208.93	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $218.78	Professional		$93.33	$186.21	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $407.38 / $741.31	Facility		$162.18	$407.38	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $407.38	Facility		$128.82	$251.19	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $323.59	Professional		$194.98	$245.47	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $223.87	Professional		$30.20	$30.20	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $812.83	Facility		$251.19	$302.00	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $269.15	Professional		$213.80	$263.03	$269.15