Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $60.86 / $168.82	Facility		$24.66	$60.86	$168.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $24.79 / $39.14	Professional		$17.29	$24.79	$39.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Professional		$15.66	$15.66	$15.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.27 / $107.65 / $196.37	Facility		$40.27	$107.65	$196.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.29 / $29.03	Professional		$5.00	$17.29	$29.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $33.11 / $33.11	Facility		$32.61	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $75.86 / $234.91	Facility		$26.18	$75.86	$234.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $34.65 / $55.25	Professional		$17.29	$34.65	$55.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $226.44 / $226.44	Facility		$73.88	$226.44	$226.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $32.61 / $57.09	Facility		$24.79	$32.61	$57.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $32.61 / $40.39	Professional		$30.87	$32.61	$40.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $32.61 / $98.70	Facility		$26.10	$32.61	$98.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $32.61 / $47.29	Professional		$17.29	$32.61	$47.29
United Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $32.61 / $53.69	Facility		$19.61	$32.61	$53.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.69 / $26.99	Professional		$13.70	$18.69	$26.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $16.11 / $32.61	Professional		$12.72	$16.11	$32.61