Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $28.29 / $30.55	Facility		$28.29	$28.29	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $30.55 / $56.58	Professional		$26.95	$30.55	$56.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Professional		$48.46	$48.46	$48.46
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 $30.75 / $38.47 / $38.47	Professional		$30.75	$38.47	$38.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $64.61 / $64.61	Facility		$64.61	$64.61	$64.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $37.36	Professional		$27.27	$27.27	$37.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.80 / $305.37 / $365.89	Facility		$178.80	$305.37	$365.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $578.84 / $578.84	Professional		$565.29	$578.84	$578.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $45.02 / $64.61	Facility		$18.60	$45.02	$64.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $59.44 / $77.03	Professional		$18.80	$59.44	$77.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $43.16 / $64.61	Facility		$18.60	$43.16	$64.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $39.83	Professional		$27.27	$27.27	$39.83
United Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $35.53 / $43.42	Professional		$24.02	$35.53	$43.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $35.13 / $64.61	Professional		$34.96	$35.13	$64.61