Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $112.20	Professional		$61.66	$83.18	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $162.18	Professional		$93.33	$123.03	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $537.03	Facility		$346.74	$489.78	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $9.33	Professional		$8.32	$9.33	$9.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Facility		$134.90	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $117.49	Professional		$77.62	$91.20	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $645.65 / $645.65	Facility		$208.93	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $120.23 / $169.82	Facility		$53.70	$120.23	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $131.83	Professional		$53.70	$107.15	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $151.36 / $151.36	Professional		$11.48	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $169.82	Facility		$53.70	$109.65	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Professional		$77.62	$77.62	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $53.70 / $95.50	Facility		$6.31	$53.70	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $117.49	Professional		$57.54	$79.43	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65