Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Facility		$79.43	$79.43	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $114.82	Professional		$58.88	$81.28	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
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 $85.11 / $85.11 / $104.71	Professional		$85.11	$85.11	$104.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $181.97	Facility		$79.43	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $199.53	Facility		$66.07	$131.83	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $154.88	Professional		$63.10	$81.28	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $89.13	Professional		$81.28	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $218.78	Facility		$66.07	$128.82	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $154.88	Facility		$41.69	$66.07	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $95.50	Professional		$54.95	$79.43	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97