Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $87.67 / $94.68	Facility		$87.67	$87.67	$94.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $94.68 / $175.33	Professional		$87.67	$94.68	$175.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $160.19 / $160.19	Professional		$160.19	$160.19	$160.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $119.22 / $119.22	Professional		$95.29	$119.22	$119.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $200.23 / $200.23	Facility		$200.23	$200.23	$200.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $120.62	Professional		$88.05	$88.05	$120.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $334.61 / $927.48 / $927.48	Facility		$334.61	$927.48	$927.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.77 / $1,002.77 / $1,457.85	Professional		$1,002.77	$1,002.77	$1,457.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $139.54 / $200.23	Facility		$57.30	$139.54	$200.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $170.20 / $200.23	Professional		$57.95	$170.20	$200.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $133.79 / $200.23	Facility		$57.30	$133.79	$200.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $128.59	Professional		$88.05	$88.05	$128.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $109.43 / $144.41	Professional		$73.97	$109.43	$144.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $121.56 / $200.23	Professional		$117.55	$121.56	$200.23