Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $40.39 / $43.62	Facility		$40.39	$40.39	$43.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $43.62 / $80.77	Professional		$38.07	$43.62	$80.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $56.61 / $69.18	Professional		$54.96	$56.61	$69.18
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 $43.90 / $43.90 / $54.92	Professional		$43.90	$43.90	$54.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $80.77 / $92.24	Facility		$80.77	$80.77	$92.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $37.77	Professional		$37.77	$37.77	$37.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $235.25 / $426.39 / $506.64	Facility		$235.25	$426.39	$506.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.72 / $761.58 / $761.58	Professional		$743.72	$761.58	$761.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $64.29 / $92.24	Facility		$25.76	$64.29	$92.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $83.02 / $104.74	Professional		$26.06	$83.02	$104.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $61.64 / $92.24	Facility		$25.76	$61.64	$92.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $83.36	Professional		$37.77	$37.77	$83.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $49.19 / $61.07	Professional		$33.26	$49.19	$61.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $52.34 / $92.24	Professional		$48.40	$52.34	$92.24