Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Facility		$28.18	$28.18	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $46.77	Professional		$25.70	$30.90	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $457.09	Professional		$316.23	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $79.43	Facility		$22.39	$50.12	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $63.10	Professional		$28.18	$32.36	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $31.62	Professional		$27.54	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $47.86 / $83.18	Facility		$22.39	$47.86	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $64.57	Facility		$17.78	$28.18	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $39.81	Professional		$23.44	$33.88	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57