Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $501.19	Facility		$43.65	$44.67	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $67.61	Professional		$40.74	$47.86	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $50.12	Professional		$30.20	$45.71	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $154.88 / $288.40	Facility		$69.18	$154.88	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $51.29	Professional		$30.90	$46.77	$51.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $93.33	Professional		$46.77	$61.66	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $67.61	Facility		$41.69	$47.86	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $69.18	Professional		$42.66	$47.86	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $69.18	Facility		$41.69	$48.98	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $93.33	Professional		$46.77	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $85.11	Professional		$43.65	$57.54	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $57.54	Professional		$43.65	$45.71	$57.54