Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $54.64 / $151.52	Facility		$22.14	$54.64	$151.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $23.72 / $50.92	Professional		$17.57	$23.72	$50.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $17.57 / $17.57	Professional		$14.05	$17.57	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $93.40 / $159.82	Facility		$33.38	$93.40	$159.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.52 / $26.06	Professional		$5.00	$15.52	$26.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $29.28 / $29.28	Facility		$23.90	$29.28	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $64.31 / $148.08	Facility		$20.46	$64.31	$148.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $21.30 / $49.24	Professional		$15.52	$21.30	$49.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $205.30 / $205.30	Facility		$161.47	$205.30	$205.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $29.28 / $38.06	Facility		$23.42	$29.28	$38.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $29.28 / $38.15	Professional		$27.82	$29.28	$38.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $29.28 / $69.20	Facility		$23.42	$29.28	$69.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.55 / $42.29	Professional		$15.52	$22.55	$42.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.89 / $28.35	Professional		$12.30	$16.89	$28.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.46 / $29.28	Professional		$11.42	$14.46	$29.28