Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.70 / $427.70 / $449.40	Facility		$427.70	$427.70	$449.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.44 / $146.44	Professional		$146.44	$146.44	$146.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $173.25 / $173.25	Professional		$173.25	$173.25	$173.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $369.39 / $691.75	Facility		$149.94	$369.39	$691.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $139.16 / $205.70	Facility		$42.69	$139.16	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $84.63 / $117.60	Professional		$22.79	$84.63	$117.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $1,238.33 / $1,238.33	Professional		$1,238.33	$1,238.33	$1,238.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $64.00	Professional		$18.00	$18.00	$64.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $139.16 / $194.00	Facility		$42.69	$139.16	$194.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $85.75 / $117.60	Professional		$22.79	$85.75	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Professional		$29.95	$29.95	$29.95