Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $39.96 / $43.15	Facility		$39.96	$39.96	$43.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $43.15 / $79.91	Professional		$39.54	$43.15	$79.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $64.80 / $68.45	Professional		$50.74	$64.80	$68.45
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 $43.43 / $54.34 / $54.34	Professional		$43.43	$54.34	$54.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $456.18 / $456.18	Facility		$91.26	$456.18	$456.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $50.66	Professional		$36.97	$36.97	$50.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.54 / $423.35 / $423.35	Facility		$152.54	$423.35	$423.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $456.96 / $663.60	Professional		$456.96	$456.96	$663.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $63.59 / $91.26	Facility		$26.11	$63.59	$91.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $82.13 / $91.26	Professional		$26.40	$82.13	$91.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $60.97 / $91.26	Facility		$26.11	$60.97	$91.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $54.00	Professional		$36.97	$36.97	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $49.86 / $60.97	Professional		$33.71	$49.86	$60.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $54.54 / $91.26	Professional		$49.05	$54.54	$91.26