Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $229.09	Facility		$33.11	$81.28	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $56.23	Professional		$27.54	$36.31	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $23.99 / $33.11	Professional		$5.01	$23.99	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Facility		$43.65	$43.65	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $281.84	Facility		$42.66	$97.72	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $74.13	Professional		$23.44	$35.48	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Facility		$363.08	$380.19	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $43.65 / $81.28	Facility		$23.44	$43.65	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $57.54	Professional		$25.70	$38.90	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $37.15	Professional		$33.11	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $43.65 / $128.82	Facility		$24.55	$43.65	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $74.13	Professional		$25.12	$35.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $43.65	Facility		$15.85	$26.30	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $37.15	Professional		$18.62	$25.70	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $43.65	Professional		$16.98	$16.98	$43.65