Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $105.39 / $141.66	Facility		$99.58	$105.39	$141.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $115.13 / $140.29	Professional		$99.58	$115.13	$140.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $125.74 / $125.74	Professional		$125.74	$125.74	$125.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $105.47 / $132.15	Professional		$93.46	$105.47	$132.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $121.98 / $121.98	Facility		$121.98	$121.98	$121.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $82.18 / $82.18	Facility		$82.18	$82.18	$82.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $141.19 / $197.29	Professional		$106.14	$141.19	$197.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $601.01 / $657.54	Facility		$287.58	$601.01	$657.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $789.93 / $789.93 / $789.93	Professional		$789.93	$789.93	$789.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $157.47 / $200.61	Facility		$125.74	$157.47	$200.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $125.74 / $180.56	Professional		$111.28	$125.74	$180.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $140.08 / $202.57	Facility		$69.00	$140.08	$202.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $162.58 / $197.29	Professional		$111.28	$162.58	$197.29
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $131.72 / $166.80	Professional		$98.80	$131.72	$166.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $174.11	Professional		$109.60	$109.60	$174.11