Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $76.47 / $131.40	Facility		$13.07	$76.47	$131.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.93 / $18.69	Professional		$9.63	$13.93	$18.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.26 / $10.32	Professional		$8.26	$8.26	$10.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $56.76 / $102.00	Facility		$21.50	$56.76	$102.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.11 / $16.86	Professional		$5.00	$9.11	$16.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $19.82	Facility		$17.20	$17.20	$19.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $37.79 / $87.26	Facility		$12.02	$37.79	$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 $79.00 / $82.56 / $100.00	Facility		$79.00	$82.56	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $17.20 / $25.45	Facility		$13.76	$17.20	$25.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.20 / $17.20	Professional		$14.62	$17.20	$17.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $17.20 / $42.99	Facility		$13.76	$17.20	$42.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.07 / $19.12	Professional		$9.11	$12.07	$19.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.84 / $14.23	Professional		$7.22	$9.84	$14.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.50 / $17.20	Professional		$6.71	$8.50	$17.20