Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Facility		$39.81	$39.81	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $70.79	Professional		$37.15	$44.67	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $67.61	Professional		$43.65	$43.65	$67.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $93.33	Facility		$79.43	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $120.23	Facility		$38.90	$74.13	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $107.15	Professional		$38.90	$47.86	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $58.88	Professional		$51.29	$51.29	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $123.03	Facility		$39.81	$70.79	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $100.00	Facility		$26.92	$43.65	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $61.66	Professional		$36.31	$52.48	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33