Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $380.19 / $1,862.09	Facility		$134.90	$380.19	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $724.44	Professional		$208.93	$331.13	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $275.42	Professional		$141.25	$234.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $512.86 / $977.24	Facility		$204.17	$512.86	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $346.74 / $524.81	Facility		$117.49	$346.74	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $549.54	Professional		$251.19	$346.74	$549.54
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 $239.88 / $363.08 / $1,023.29	Facility		$239.88	$363.08	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $346.74	Professional		$275.42	$338.84	$346.74