Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $32.06 / $92.83	Facility		$13.00	$32.06	$92.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.06 / $20.63	Professional		$9.63	$13.06	$20.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $8.25	Professional		$6.02	$6.02	$8.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $56.73 / $103.48	Facility		$21.32	$56.73	$103.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.11 / $13.75	Professional		$5.00	$9.11	$13.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $20.46 / $20.46	Facility		$17.19	$20.46	$20.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $37.75 / $87.26	Facility		$12.02	$37.75	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.64 / $28.99	Professional		$9.11	$12.64	$28.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $86.00 / $217.00	Facility		$56.34	$86.00	$217.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $17.19 / $22.35	Facility		$13.75	$17.19	$22.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.19 / $21.30	Professional		$16.20	$17.19	$21.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $17.19 / $42.99	Facility		$13.75	$17.19	$42.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.24 / $24.84	Professional		$9.11	$13.24	$24.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.90 / $14.04	Professional		$7.22	$9.90	$14.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.49 / $17.19	Professional		$6.70	$8.49	$17.19