Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $37.60 / $104.26	Facility		$14.91	$37.60	$104.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $14.68 / $24.18	Professional		$10.68	$14.68	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $12.09 / $12.84	Professional		$9.67	$12.09	$12.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $65.29 / $113.36	Facility		$24.99	$65.29	$113.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.68 / $16.14	Professional		$5.00	$10.68	$16.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $20.14 / $21.31	Facility		$20.14	$20.14	$21.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $40.09 / $89.06	Facility		$14.08	$40.09	$89.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.64 / $31.18	Professional		$10.68	$12.64	$31.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $95.71 / $95.71	Facility		$50.00	$95.71	$95.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $20.14 / $22.17	Facility		$14.68	$20.14	$22.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.14 / $20.14	Professional		$18.14	$20.14	$20.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $20.14 / $54.18	Facility		$14.68	$20.14	$54.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $14.22 / $26.49	Professional		$10.68	$14.22	$26.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.58 / $12.09	Professional		$8.46	$10.58	$12.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $9.13 / $20.14	Professional		$7.86	$9.13	$20.14