Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $85.11	Professional		$57.54	$69.18	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $79.43 / $79.43 / $93.33	Professional	25	$79.43	$79.43	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $69.18	Professional		$56.23	$63.10	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $158.49 / $158.49	Facility		$77.62	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $134.90	Professional		$63.10	$70.79	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $125.89	Facility		$56.23	$79.43	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Professional		$60.26	$70.79	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $125.89	Facility		$56.23	$79.43	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $120.23	Professional		$66.07	$75.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $131.83	Professional		$60.26	$75.86	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62