Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $226.02 / $307.66	Professional		$169.14	$226.02	$307.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $314.83 / $314.83	Professional		$314.83	$314.83	$314.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.72 / $1,164.98 / $1,296.76	Facility		$346.72	$1,164.98	$1,296.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $23.18 / $23.18	Professional		$20.86	$23.18	$23.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $279.10 / $279.10 / $402.45	Facility		$279.10	$279.10	$402.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $376.88	Facility		$267.62	$267.62	$376.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $330.59	Professional		$227.48	$267.62	$330.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $780.84 / $1,807.28 / $1,827.09	Facility		$780.84	$1,807.28	$1,827.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.51 / $280.44 / $402.45	Facility		$239.51	$280.44	$402.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $299.00 / $402.45	Professional		$38.47	$299.00	$402.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.51 / $280.08 / $402.45	Facility		$239.51	$280.08	$402.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $328.27	Professional		$227.48	$267.62	$328.27
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $194.51 / $297.97	Professional		$159.36	$194.51	$297.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $296.27 / $296.27	Professional		$249.50	$296.27	$296.27