Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $63.21 / $109.25	Facility		$63.21	$63.21	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $80.23 / $100.92	Professional		$66.41	$80.23	$100.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $87.85 / $133.02	Professional		$60.00	$87.85	$133.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $568.22 / $568.22	Facility		$169.73	$568.22	$568.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.21 / $524.21 / $684.60	Professional		$524.21	$524.21	$684.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $85.06 / $115.11	Facility		$68.06	$85.06	$115.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.41 / $84.94 / $115.11	Facility		$66.41	$84.94	$115.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $61.68 / $118.32	Professional		$25.00	$61.68	$118.32
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $88.29 / $148.47	Professional		$65.23	$88.29	$148.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $77.92 / $109.09	Professional		$77.92	$77.92	$109.09