Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $41.98 / $42.79	Facility		$41.18	$41.98	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $42.79 / $69.44	Professional		$40.36	$42.79	$69.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $65.45 / $65.45	Professional		$65.45	$65.45	$65.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $54.90 / $54.90	Professional		$43.88	$54.90	$54.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $71.02	Professional		$51.84	$51.84	$71.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.61 / $480.51 / $480.51	Facility		$457.61	$480.51	$480.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.37 / $511.38 / $639.23	Professional		$499.37	$511.38	$639.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $64.26 / $92.20	Facility		$27.45	$64.26	$92.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $84.82 / $100.45	Professional		$27.45	$84.82	$100.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $64.26 / $92.20	Facility		$27.45	$64.26	$92.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $72.17	Professional		$51.84	$51.84	$72.17
United Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $52.08 / $61.61	Professional		$35.43	$52.08	$61.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.74 / $92.20	Professional		$51.06	$51.74	$92.20