Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $40.74 / $102.33	Facility		$15.14	$40.74	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $23.99	Professional		$12.02	$16.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $33.88	Professional		$12.88	$13.49	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $114.82	Facility		$25.70	$66.07	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $21.38	Professional		$5.01	$12.02	$21.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.90 / $93.33	Facility		$12.30	$38.90	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $32.36	Professional		$7.94	$10.23	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $97.72	Facility		$15.85	$20.42	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $25.70	Professional		$12.02	$16.98	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $18.20	Professional		$16.22	$18.20	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $60.26	Facility		$14.13	$21.88	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $27.54	Professional		$7.94	$10.96	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.12 / $21.88	Facility		$7.76	$9.12	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $18.20	Professional		$7.59	$9.12	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $21.88	Professional		$8.51	$8.51	$21.88