Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $55.54 / $183.31	Facility		$24.14	$55.54	$183.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $27.00 / $46.28	Professional		$19.29	$27.00	$46.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Professional		$18.51	$18.51	$18.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $107.61 / $200.56	Facility		$38.96	$107.61	$200.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.44 / $37.79	Professional		$5.00	$20.44	$37.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $38.57 / $38.57	Facility		$16.30	$38.57	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $66.06 / $164.50	Facility		$12.78	$66.06	$164.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $19.69 / $56.00	Professional		$9.18	$19.69	$56.00
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 $32.78 / $38.57 / $38.57	Professional		$32.78	$38.57	$38.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $38.57 / $84.03	Facility		$24.30	$38.57	$84.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $18.29 / $38.57	Professional		$9.18	$18.29	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.20 / $23.14	Professional		$8.11	$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