Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $33.40 / $92.62	Facility		$13.54	$33.40	$92.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.60 / $21.48	Professional		$10.02	$13.60	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $57.64 / $99.76	Facility		$22.00	$57.64	$99.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.49 / $15.93	Professional		$5.00	$9.49	$15.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $20.19	Facility		$17.89	$17.89	$20.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $38.84 / $88.57	Facility		$12.51	$38.84	$88.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.82 / $29.54	Professional		$9.49	$12.82	$29.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.35 / $94.00 / $100.00	Facility		$52.35	$94.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $23.27	Facility		$14.32	$17.89	$23.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $17.89 / $22.84	Professional		$16.11	$17.89	$22.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $44.05	Facility		$14.32	$17.89	$44.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.63 / $25.31	Professional		$9.49	$13.63	$25.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.15 / $17.89	Professional		$7.52	$10.15	$17.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.66 / $17.89	Professional		$6.98	$8.66	$17.89