Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $98.05 / $135.77	Professional		$75.31	$98.05	$135.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $158.15 / $158.15	Professional		$158.15	$158.15	$158.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $11.85 / $11.85	Professional		$10.66	$11.85	$11.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $162.88 / $214.71	Facility		$162.88	$162.88	$214.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $175.42	Facility		$115.90	$115.90	$175.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $144.38	Professional		$98.52	$115.90	$144.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $782.36 / $782.36	Facility		$250.76	$782.36	$782.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $128.96 / $214.71	Facility		$61.72	$128.96	$214.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $149.86 / $181.47	Professional		$14.99	$149.86	$181.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $115.90 / $214.71	Facility		$61.72	$115.90	$214.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $144.38	Professional		$98.52	$115.90	$144.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $94.36 / $137.16	Professional		$69.50	$94.36	$137.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Professional		$131.88	$131.88	$131.88