Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $127.70 / $157.54	Facility		$123.28	$127.70	$157.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $153.61 / $225.65	Professional		$20.10	$153.61	$225.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $29.75 / $29.75	Professional		$29.75	$29.75	$29.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $24.86 / $24.86	Professional		$21.13	$24.86	$24.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Facility		$141.06	$141.06	$141.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.11 / $1,216.29 / $1,216.29	Facility		$451.11	$1,216.29	$1,216.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.19 / $1,215.19 / $1,985.78	Professional		$1,215.19	$1,215.19	$1,985.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $145.71 / $349.92	Facility		$27.65	$145.71	$349.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,001.90 / $14,999.85 / $29,999.70	Professional		$10,001.90	$14,999.85	$29,999.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $149.02 / $349.92	Facility		$27.04	$149.02	$349.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $214.58	Professional		$182.29	$182.29	$214.58
United Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $217.35 / $338.59	Professional		$149.37	$217.35	$338.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $335.66 / $453.14	Professional		$28.57	$335.66	$453.14