Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $66.65 / $71.98	Facility		$66.65	$66.65	$71.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $71.98 / $133.29	Professional		$66.65	$71.98	$133.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $121.79 / $121.79	Professional		$121.79	$121.79	$121.79
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 $72.45 / $90.64 / $90.64	Professional		$72.45	$90.64	$90.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $152.22 / $152.22	Facility		$152.22	$152.22	$152.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $254.45 / $705.18 / $705.18	Facility		$254.45	$705.18	$705.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $762.34 / $762.34 / $1,108.58	Professional		$762.34	$762.34	$1,108.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $106.08 / $152.22	Facility		$43.56	$106.08	$152.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $137.01 / $152.22	Professional		$44.06	$137.01	$152.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $101.71 / $152.22	Facility		$43.56	$101.71	$152.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $104.64	Professional		$71.65	$71.65	$104.64
United Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $83.19 / $108.77	Professional		$56.24	$83.19	$108.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $101.55 / $152.22	Professional		$89.37	$101.55	$152.22