Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.84 / $83.18	Facility		$12.02	$28.84	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.05	Professional		$10.00	$14.13	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $32.36 / $79.43	Facility		$11.75	$32.36	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $27.54	Professional		$9.55	$20.42	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $32.36	Facility		$11.48	$17.38	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $41.69	Facility		$12.02	$18.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $33.88	Professional		$9.55	$16.98	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.51 / $18.20	Facility		$6.46	$8.51	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $15.14	Professional		$7.59	$7.59	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $18.20	Professional		$7.08	$7.08	$18.20