Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $141.25	Facility		$20.89	$50.12	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $33.88	Professional		$18.20	$23.99	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $138.04	Facility		$20.42	$56.23	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $47.86	Professional		$16.60	$36.31	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $54.95	Facility		$19.95	$30.20	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $37.15	Professional		$19.05	$25.70	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.62 / $72.44	Facility		$20.89	$31.62	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $58.88	Professional		$16.60	$29.51	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.79 / $31.62	Facility		$11.22	$14.79	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $20.42	Professional		$13.18	$13.18	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $31.62	Professional		$12.30	$12.30	$31.62