Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $27.23 / $30.82	Facility		$21.81	$27.23	$30.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $32.68 / $43.39	Professional		$23.27	$32.68	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Professional		$38.36	$38.36	$38.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $109.20 / $210.15	Facility		$46.74	$109.20	$210.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $35.42 / $35.42	Professional		$30.11	$35.42	$35.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $114.23 / $114.23	Facility		$35.58	$114.23	$114.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $209.21 / $209.21	Facility		$75.52	$209.21	$209.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $340.83 / $340.83	Professional		$340.83	$340.83	$340.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $43.45 / $68.79	Facility		$30.82	$43.45	$68.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $51.30 / $73.40	Professional		$38.61	$51.30	$73.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $43.45 / $73.02	Facility		$30.82	$43.45	$73.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $94.83	Professional		$36.31	$36.31	$94.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $41.69 / $66.95	Professional		$30.71	$41.69	$66.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $38.61 / $54.07	Professional		$33.68	$38.61	$54.07