Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $159.96 / $251.30	Professional		$120.07	$159.96	$251.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $245.66 / $349.05	Professional		$221.83	$245.66	$349.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.23 / $975.17 / $1,124.68	Facility		$290.23	$975.17	$1,124.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $19.26 / $19.26	Professional		$16.62	$19.26	$19.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $239.84 / $349.05	Facility		$239.84	$239.84	$349.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $267.55	Facility		$160.96	$160.96	$267.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $215.49	Professional		$136.82	$160.96	$215.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $369.96 / $1,154.28 / $1,154.28	Facility		$369.96	$1,154.28	$1,154.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $238.61 / $349.05	Facility		$110.87	$238.61	$349.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $240.85 / $349.05	Professional		$32.11	$240.85	$349.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $188.40 / $349.05	Facility		$110.87	$188.40	$349.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $211.26	Professional		$136.82	$160.96	$211.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $160.09 / $237.84	Professional		$104.96	$160.09	$237.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $195.51 / $195.51	Professional		$193.50	$195.51	$195.51