Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $40.22 / $102.96	Facility		$16.04	$40.22	$102.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.60 / $21.67	Professional		$10.84	$15.60	$21.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $65.01 / $117.79	Facility		$23.84	$65.01	$117.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.49 / $19.29	Professional		$5.00	$11.49	$19.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $21.67	Facility		$21.67	$21.67	$21.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $43.12 / $92.34	Facility		$11.96	$43.12	$92.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $11.04 / $32.04	Professional		$8.50	$11.04	$32.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $102.93 / $102.93	Facility		$50.00	$102.93	$102.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $21.67 / $23.84	Facility		$15.78	$21.67	$23.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $20.48 / $21.67	Professional		$17.27	$20.48	$21.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $21.67 / $54.96	Facility		$14.72	$21.67	$54.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $11.04 / $21.67	Professional		$7.93	$11.04	$21.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $9.10 / $13.00	Professional		$7.60	$9.10	$13.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.67 / $21.67	Professional		$8.44	$8.67	$21.67