Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $75.86	Facility		$70.79	$70.79	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $131.83	Professional		$57.54	$72.44	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $138.04	Professional		$95.50	$114.82	$138.04
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 $77.62 / $77.62 / $104.71	Professional		$77.62	$77.62	$104.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $954.99	Professional		$794.33	$954.99	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $190.55	Facility		$64.57	$120.23	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $141.25	Professional		$57.54	$75.86	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $199.53	Facility		$64.57	$120.23	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $141.25	Facility		$45.71	$85.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $93.33	Professional		$50.12	$75.86	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96