Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $59.83 / $167.87	Facility		$22.57	$59.83	$167.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $21.20 / $33.15	Professional		$13.44	$21.20	$33.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $34.19 / $34.19	Professional		$23.95	$34.19	$34.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Facility		$34.19	$34.19	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $67.98 / $151.47	Facility		$22.43	$67.98	$151.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $49.04 / $2,556.11	Professional		$18.12	$49.04	$2,556.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $162.40 / $162.40	Facility		$68.25	$162.40	$162.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $34.19 / $41.03	Facility		$22.57	$34.19	$41.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $34.19 / $34.19	Professional		$19.64	$34.19	$34.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $65.86 / $181.41	Facility		$24.53	$65.86	$181.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $34.19 / $1,923.80	Professional		$18.12	$34.19	$1,923.80
United Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $34.19 / $42.74	Facility		$11.97	$34.19	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $21.04	Professional		$14.36	$14.73	$21.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $13.33 / $34.19	Professional		$6.39	$13.33	$34.19