Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Facility		$57.54	$57.54	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $97.72	Professional		$52.48	$61.66	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $75.86	Professional		$61.66	$61.66	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $131.83	Facility		$79.43	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $977.24	Professional		$724.44	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $213.80	Facility		$37.15	$95.50	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Professional		$74.13	$74.13	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $173.78	Facility		$56.23	$100.00	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $131.83	Facility		$36.31	$57.54	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $81.28	Professional		$47.86	$69.18	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83