Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $43.65	Facility		$41.69	$41.69	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $64.57	Professional		$33.88	$43.65	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Facility		$79.43	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $537.03	Professional		$467.74	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $112.20	Facility		$39.81	$72.44	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $83.18	Professional		$38.90	$43.65	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $61.66	Professional		$53.70	$53.70	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $120.23	Facility		$39.81	$72.44	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $83.18	Facility		$22.39	$35.48	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $51.29	Professional		$29.51	$43.65	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72