Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.67 / $57.54	Facility		$33.88	$34.67	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $57.54	Professional		$30.90	$38.02	$57.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	25	$38.90	$38.90	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $42.66	Professional		$30.90	$36.31	$42.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	25	$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $38.90	Professional		$28.84	$32.36	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $69.18	Professional		$34.67	$53.70	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $35.48 / $64.57	Facility		$33.88	$35.48	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $83.18	Professional		$33.11	$39.81	$83.18
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $38.90 / $38.90 / $44.67	Professional	25	$38.90	$38.90	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $173.78	Professional		$28.18	$32.36	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $47.86 / $75.86	Facility		$37.15	$47.86	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $69.18	Professional		$35.48	$48.98	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $58.88	Professional		$33.88	$45.71	$58.88