Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $42.89 / $112.83	Facility		$17.10	$42.89	$112.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $15.49 / $27.58	Professional		$12.87	$15.49	$27.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $72.16 / $130.30	Facility		$25.28	$72.16	$130.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.18 / $20.68	Professional		$5.00	$12.18	$20.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $22.98 / $22.98	Facility		$19.44	$22.98	$22.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $38.90 / $101.99	Facility		$16.05	$38.90	$101.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.50 / $35.10	Professional		$10.78	$12.50	$35.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $194.00 / $243.00	Facility		$194.00	$194.00	$243.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $22.98 / $27.58	Facility		$16.73	$22.98	$27.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $22.98 / $22.98	Professional		$20.68	$22.98	$22.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $22.98 / $57.59	Facility		$16.73	$22.98	$57.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.97 / $24.37	Professional		$10.78	$12.97	$24.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.90 / $17.68	Professional		$9.65	$9.90	$17.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $9.19 / $22.98	Professional		$8.96	$9.19	$22.98