Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $110.53 / $147.75	Facility		$103.54	$110.53	$147.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $119.40 / $146.41	Professional		$105.35	$119.40	$146.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $145.21 / $145.21	Professional		$145.21	$145.21	$145.21
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 $107.45 / $121.27 / $151.94	Professional		$107.45	$121.27	$151.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.43 / $129.43 / $129.43	Facility		$129.43	$129.43	$129.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $93.37 / $93.37	Facility		$93.37	$93.37	$93.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $147.29 / $199.00	Professional		$122.43	$147.29	$199.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $330.02 / $694.84 / $761.19	Facility		$330.02	$694.84	$761.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $878.76 / $878.76 / $902.70	Professional		$878.76	$878.76	$902.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $170.90 / $211.28	Facility		$144.15	$170.90	$211.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $145.21 / $208.64	Professional		$115.23	$145.21	$208.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $147.75 / $227.65	Facility		$58.00	$147.75	$227.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $164.49 / $208.64	Professional		$115.23	$164.49	$208.64
United Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $174.85 / $174.85	Facility		$174.85	$174.85	$174.85
United Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $139.59 / $189.50	Professional		$102.59	$139.59	$189.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $126.71 / $201.19	Professional		$126.71	$126.71	$201.19