Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $58.70 / $89.52	Professional		$42.55	$58.70	$89.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $118.70 / $118.70	Professional		$118.70	$118.70	$118.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $331.63 / $382.48	Facility		$98.70	$331.63	$382.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $7.27 / $118.70	Facility		$7.27	$7.27	$118.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $94.82	Facility		$60.46	$60.46	$94.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $80.95	Professional		$51.39	$60.46	$80.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $433.65 / $433.65	Facility		$138.99	$433.65	$433.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $82.73 / $118.70	Facility		$37.71	$82.73	$118.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $84.86 / $118.70	Professional		$10.91	$84.86	$118.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $69.01 / $118.70	Facility		$37.71	$69.01	$118.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $80.95	Professional		$51.39	$60.46	$80.95
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $56.83 / $83.79	Professional		$38.97	$56.83	$83.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $73.65 / $73.65	Professional		$72.98	$73.65	$73.65