Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $96.88 / $104.63	Facility		$96.88	$96.88	$104.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $104.63 / $193.75	Professional		$96.88	$104.63	$193.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $157.11 / $157.11	Professional		$157.11	$157.11	$157.11
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 $105.31 / $105.31 / $131.75	Professional		$105.31	$105.31	$131.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $221.28	Facility		$221.28	$221.28	$221.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.98 / $1,292.90 / $1,292.90	Facility		$1,135.98	$1,292.90	$1,292.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.51 / $1,306.51 / $2,041.43	Professional		$1,306.51	$1,306.51	$2,041.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $155.22 / $221.28	Facility		$65.75	$155.22	$221.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $199.15 / $222.87	Professional		$66.48	$199.15	$222.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $158.36 / $221.28	Facility		$65.75	$158.36	$221.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $174.44	Professional		$124.21	$124.21	$174.44
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $125.56 / $156.94	Professional		$84.87	$125.56	$156.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $123.82 / $221.28	Professional		$123.53	$123.82	$221.28