Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $47.51 / $133.11	Facility		$18.98	$47.51	$133.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $16.80 / $27.11	Professional		$15.18	$16.80	$27.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $84.58 / $153.71	Facility		$30.36	$84.58	$153.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.37 / $26.57	Professional		$5.00	$14.37	$26.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $24.16 / $24.16	Facility		$24.16	$24.16	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $44.05 / $120.77	Facility		$17.16	$44.05	$120.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $20.54 / $41.30	Professional		$13.26	$20.54	$41.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $128.77 / $128.77	Facility		$43.38	$128.77	$128.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $27.11 / $29.82	Facility		$15.18	$27.11	$29.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.11 / $27.11	Professional		$23.53	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $27.11 / $38.67	Facility		$14.21	$27.11	$38.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $20.87 / $34.67	Professional		$13.26	$20.87	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $16.27	Professional		$11.39	$11.39	$16.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.84 / $27.11	Professional		$10.57	$10.84	$27.11