Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $114.26 / $123.40	Facility		$114.26	$114.26	$123.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $121.12 / $228.52	Professional		$99.07	$121.12	$228.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $155.50 / $155.50	Professional		$155.50	$155.50	$155.50
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 $124.20 / $155.38 / $155.38	Professional		$124.20	$155.38	$155.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $260.98 / $260.98 / $260.98	Facility		$260.98	$260.98	$260.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $122.31	Professional		$89.29	$89.29	$122.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.98 / $1,239.66 / $1,239.66	Facility		$1,037.98	$1,239.66	$1,239.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.84 / $1,291.84 / $1,707.45	Professional		$1,291.84	$1,291.84	$1,707.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $181.88 / $260.98	Facility		$63.04	$181.88	$260.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $220.70 / $260.98	Professional		$63.76	$220.70	$260.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $174.38 / $260.98	Facility		$63.04	$174.38	$260.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $130.38	Professional		$89.29	$89.29	$130.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $120.38 / $149.72	Professional		$81.38	$120.38	$149.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $120.12 / $260.98	Professional		$118.44	$120.12	$260.98