Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $1,071.52	Facility		$186.21	$281.84	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $239.88	Professional		$151.36	$169.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $125.89 / $158.49	Professional		$15.14	$125.89	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,000.00	Facility		$186.21	$186.21	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $269.15	Professional		$154.88	$186.21	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $602.56	Facility		$186.21	$269.15	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53