Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $31.72 / $87.99	Facility		$12.85	$31.72	$87.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.60 / $18.70	Professional		$9.52	$13.60	$18.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $56.10 / $101.23	Facility		$21.08	$56.10	$101.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.01 / $14.65	Professional		$5.00	$9.01	$14.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $19.32	Facility		$17.00	$17.00	$19.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $37.13 / $84.63	Facility		$11.88	$37.13	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $12.27 / $28.45	Professional		$9.01	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $112.12 / $112.12	Facility		$88.18	$112.12	$112.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $17.00 / $22.10	Facility		$13.60	$17.00	$22.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.00 / $20.87	Professional		$16.20	$17.00	$20.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $17.00 / $42.19	Facility		$13.60	$17.00	$42.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $13.05 / $23.23	Professional		$9.01	$13.05	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.64 / $13.70	Professional		$7.14	$9.64	$13.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.27 / $17.00	Professional		$6.63	$8.27	$17.00