Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $70.76 / $76.42	Facility		$70.76	$70.76	$76.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $75.22 / $141.51	Professional		$64.50	$75.22	$141.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $114.74 / $121.21	Professional		$96.29	$114.74	$121.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $96.23 / $96.23	Professional		$76.91	$96.23	$96.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.36 / $127.36 / $161.61	Facility		$127.36	$127.36	$161.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $89.19	Professional		$65.11	$65.11	$89.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $645.28 / $767.65	Facility		$279.86	$645.28	$767.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.97 / $799.97 / $947.55	Professional		$799.97	$799.97	$947.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $112.62 / $161.61	Facility		$39.04	$112.62	$161.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $136.66 / $161.61	Professional		$39.47	$136.66	$161.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $107.98 / $161.61	Facility		$39.04	$107.98	$161.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $95.08	Professional		$65.11	$65.11	$95.08
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $74.54 / $92.53	Professional		$50.39	$74.54	$92.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $80.98 / $161.61	Professional		$73.34	$80.98	$161.61