Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $43.58	Facility		$40.36	$40.36	$43.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $43.58 / $80.70	Professional		$35.11	$43.58	$80.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $69.13	Professional		$65.44	$65.44	$69.13
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 $43.87 / $54.88 / $54.88	Professional		$43.87	$54.88	$54.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $92.17 / $92.17	Facility		$92.17	$92.17	$92.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $45.81	Professional		$33.44	$33.44	$45.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $392.56 / $464.36	Facility		$182.33	$392.56	$464.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $576.36 / $590.17 / $733.20	Professional		$576.36	$590.17	$733.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $64.23 / $92.17	Facility		$23.61	$64.23	$92.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $82.95 / $92.17	Professional		$23.88	$82.95	$92.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $61.59 / $92.17	Facility		$23.61	$61.59	$92.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $48.83	Professional		$33.44	$33.44	$48.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $45.09 / $56.36	Professional		$30.48	$45.09	$56.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.58 / $92.17	Professional		$44.36	$44.58	$92.17