Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $139.72 / $194.84	Professional		$105.48	$139.72	$194.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $209.17 / $290.08	Professional		$145.05	$209.17	$290.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.76 / $1,050.86 / $1,212.00	Facility		$312.76	$1,050.86	$1,212.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.75 / $20.75	Professional		$17.89	$20.75	$20.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $180.06 / $237.97 / $376.16	Facility		$180.06	$237.97	$376.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $235.41	Facility		$126.72	$126.72	$235.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $169.65	Professional		$107.71	$126.72	$169.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.26 / $908.34 / $908.34	Facility		$360.26	$908.34	$908.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $257.14 / $376.16	Facility		$119.48	$257.14	$376.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $180.06 / $376.16	Professional		$34.59	$180.06	$376.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $177.13 / $376.16	Facility		$119.48	$177.13	$376.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $169.65	Professional		$107.71	$126.72	$169.65
United Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $159.35 / $265.50	Professional		$92.66	$159.35	$265.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $152.21 / $152.21	Professional		$148.40	$152.21	$152.21