Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $51.29 / $154.88	Facility		$22.39	$51.29	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $36.31	Professional		$10.00	$25.12	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $151.36	Facility		$22.39	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $43.65 / $3,630.78	Professional		$18.20	$43.65	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $63.10	Facility		$22.39	$33.88	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $38.90	Professional		$19.05	$26.92	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $83.18	Facility		$22.39	$33.88	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $3,630.78	Professional		$18.20	$37.15	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $33.88	Facility		$12.02	$14.45	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $28.18	Professional		$14.45	$14.79	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18