Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.02 / $280.66 / $379.76	Facility		$256.02	$280.66	$379.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $280.66 / $379.76	Professional		$226.15	$280.66	$379.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $9.98	Professional		$9.98	$9.98	$9.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $107.37 / $225.00	Facility		$46.10	$107.37	$225.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $41.12	Professional		$41.12	$41.12	$41.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $45.84 / $45.84	Facility		$45.84	$45.84	$45.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $417.07	Facility		$64.00	$64.00	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Professional		$61.57	$61.57	$61.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,280.00 / $5,280.00	Facility		$100.00	$5,280.00	$5,280.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $54.59 / $54.59	Professional		$54.59	$54.59	$54.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $51.63 / $379.76	Facility		$30.98	$51.63	$379.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $58.07 / $232.30	Professional		$42.26	$58.07	$232.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $49.37 / $379.76	Facility		$23.23	$49.37	$379.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $61.57 / $61.57	Professional		$43.32	$61.57	$61.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $28.06 / $51.63	Professional		$19.30	$28.06	$51.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $405.54	Professional		$300.39	$300.39	$405.54