Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $79.06 / $80.58	Facility		$77.54	$79.06	$80.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $80.58 / $130.75	Professional		$72.98	$80.58	$130.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $123.29 / $123.29	Professional		$123.29	$123.29	$123.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $103.39 / $103.39	Professional		$82.64	$103.39	$103.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $127.94 / $173.64	Facility		$127.94	$127.94	$173.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $116.46	Professional		$85.02	$85.02	$116.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $290.17 / $804.26 / $804.26	Facility		$290.17	$804.26	$804.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.66 / $869.66 / $1,264.20	Professional		$869.66	$869.66	$1,264.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $120.12 / $173.64	Facility		$49.69	$120.12	$173.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $156.28 / $173.64	Professional		$49.69	$156.28	$173.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $116.46 / $173.64	Facility		$49.69	$116.46	$173.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $124.16	Professional		$85.02	$85.02	$124.16
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $92.75 / $110.42	Professional		$64.15	$92.75	$110.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.43 / $173.64	Professional		$92.09	$92.43	$173.64