Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $49.01 / $226.20	Facility		$47.16	$49.01	$226.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $49.01 / $79.53	Professional		$44.39	$49.01	$79.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Professional		$74.98	$74.98	$74.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $50.27 / $62.89	Professional		$50.27	$50.27	$62.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $105.62 / $105.62	Facility		$105.62	$105.62	$105.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $67.95	Professional		$49.61	$49.61	$67.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $489.15 / $489.15	Facility		$176.47	$489.15	$489.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $528.83 / $528.83 / $768.90	Professional		$528.83	$528.83	$768.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $71.41 / $105.62	Facility		$30.22	$71.41	$105.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $95.06 / $105.62	Professional		$30.22	$95.06	$105.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $70.56 / $105.62	Facility		$30.22	$70.56	$105.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $72.45	Professional		$49.61	$49.61	$72.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $56.42 / $67.16	Professional		$39.01	$56.42	$67.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $56.66 / $105.62	Professional		$56.22	$56.66	$105.62