Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $135.13 / $188.98	Facility		$127.61	$135.13	$188.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $147.55 / $179.79	Professional		$130.19	$147.55	$179.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.82 / $171.82 / $179.98	Professional		$171.82	$171.82	$179.98
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 $127.61 / $144.02 / $182.33	Professional		$127.61	$144.02	$182.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $169.90 / $169.90	Facility		$169.90	$169.90	$169.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Facility		$101.19	$101.19	$101.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $180.62 / $250.00	Professional		$144.91	$180.62	$250.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $394.58 / $820.50 / $895.52	Facility		$394.58	$820.50	$895.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.66 / $1,050.66 / $1,080.45	Professional		$1,050.66	$1,050.66	$1,080.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.82 / $213.41 / $260.67	Facility		$171.82	$213.41	$260.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $163.46 / $246.50	Professional		$141.83	$163.46	$246.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $176.07 / $260.67	Facility		$69.00	$176.07	$260.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $206.01 / $251.97	Professional		$141.83	$206.01	$251.97
United Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $169.05 / $213.60	Professional		$127.44	$169.05	$213.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $149.63 / $237.69	Professional		$149.63	$149.63	$237.69