Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $83.18	Professional		$45.71	$64.57	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $97.72	Professional		$63.10	$95.50	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $467.74	Facility		$295.12	$416.87	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $7.94	Professional		$6.92	$7.94	$7.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $147.91	Facility		$97.72	$114.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Facility		$66.07	$66.07	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $89.13	Professional		$56.23	$66.07	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $478.63 / $478.63	Facility		$158.49	$478.63	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $147.91	Facility		$45.71	$100.00	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $95.50	Professional		$45.71	$83.18	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $147.91	Facility		$45.71	$87.10	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $87.10	Professional		$56.23	$56.23	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $44.67 / $70.79	Facility		$5.37	$44.67	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $102.33	Professional		$43.65	$66.07	$102.33