Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $177.83	Facility		$23.99	$60.26	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $46.77	Professional		$19.05	$25.70	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $27.54	Professional		$15.49	$16.22	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $194.98	Facility		$43.65	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $17.78 / $31.62	Professional		$5.01	$17.78	$31.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Facility		$32.36	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.86 / $275.42	Facility		$32.36	$75.86	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $64.57	Professional		$17.38	$33.88	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $72.44	Facility		$24.55	$34.67	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $50.12	Professional		$19.05	$28.84	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $27.54	Professional		$24.55	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $109.65	Facility		$26.30	$35.48	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $54.95	Professional		$18.62	$33.88	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.50 / $32.36	Facility		$11.75	$19.50	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $27.54	Professional		$13.80	$19.05	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $32.36	Professional		$12.59	$12.59	$32.36