Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $56.41 / $167.87	Facility		$22.57	$56.41	$167.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $25.30 / $41.03	Professional		$20.51	$25.30	$41.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.12 / $22.91	Professional		$5.00	$18.12	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Facility		$34.19	$34.19	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $67.98 / $151.47	Facility		$22.47	$67.98	$151.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $24.77 / $52.14	Professional		$16.50	$24.77	$52.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $162.40 / $162.40	Facility		$54.70	$162.40	$162.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $34.19 / $37.61	Facility		$25.64	$34.19	$37.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $34.19 / $34.19	Professional		$29.06	$34.19	$34.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $34.19 / $74.66	Facility		$24.53	$34.19	$74.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $26.33 / $43.74	Professional		$16.53	$26.33	$43.74
United Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $34.19 / $42.07	Facility		$14.73	$34.19	$42.07
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $22.22	Professional		$14.36	$14.73	$22.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.02 / $34.19	Professional		$13.33	$14.02	$34.19