Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $36.60 / $95.51	Facility		$14.51	$36.60	$95.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $14.67 / $19.61	Professional		$10.98	$14.67	$19.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $11.77	Professional		$11.77	$11.77	$11.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $60.40 / $112.48	Facility		$20.98	$60.40	$112.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.39 / $15.69	Professional		$5.00	$10.39	$15.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $19.61 / $19.61	Facility		$11.49	$19.61	$19.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $37.29 / $85.26	Facility		$13.54	$37.29	$85.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $12.50 / $29.94	Professional		$10.26	$12.50	$29.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $220.84 / $320.00	Facility		$194.00	$220.84	$320.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $19.61 / $24.51	Facility		$14.12	$19.61	$24.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.61 / $21.98	Professional		$17.64	$19.61	$21.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $19.61 / $49.48	Facility		$13.96	$19.61	$49.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.97 / $24.16	Professional		$10.39	$12.97	$24.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.90 / $16.23	Professional		$8.24	$9.90	$16.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.33 / $19.61	Professional		$7.65	$8.33	$19.61