Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $67.50 / $199.60	Facility		$25.46	$67.50	$199.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $25.46 / $46.28	Professional		$21.03	$25.46	$46.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $23.14	Professional		$18.51	$18.51	$23.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $120.34 / $218.69	Facility		$43.20	$120.34	$218.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.44 / $38.57	Professional		$5.00	$20.44	$38.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $46.29 / $46.29	Facility		$38.57	$46.29	$46.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $76.70 / $170.99	Facility		$25.05	$76.70	$170.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $44.19 / $58.85	Professional		$20.44	$44.19	$58.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $183.21 / $183.21	Facility		$61.71	$183.21	$183.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $38.57 / $42.43	Facility		$28.09	$38.57	$42.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $38.57 / $38.57	Professional		$26.12	$38.57	$38.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $38.57 / $67.50	Facility		$27.00	$38.57	$67.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $34.71 / $56.00	Professional		$20.44	$34.71	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $23.14	Professional		$16.20	$16.20	$23.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.43 / $38.57	Professional		$15.04	$15.43	$38.57