Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $75.86	Professional		$42.66	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $114.82	Professional		$112.20	$112.20	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $407.38	Facility		$257.04	$363.08	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Facility		$93.33	$93.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Professional		$51.29	$60.26	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $91.20 / $128.82	Facility		$39.81	$91.20	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $85.11	Professional		$39.81	$75.86	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $128.82	Facility		$39.81	$79.43	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Professional		$51.29	$51.29	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $38.90 / $61.66	Facility		$4.47	$38.90	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $89.13	Professional		$37.15	$57.54	$89.13