Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $89.13	Facility		$12.02	$31.62	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $20.42	Professional		$10.00	$13.80	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $102.33	Facility		$22.91	$57.54	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.77 / $16.98	Professional		$9.33	$9.77	$16.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $91.20	Facility		$16.60	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $26.92	Professional		$9.12	$19.95	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $194.98	Facility		$154.88	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $33.88	Facility		$13.18	$16.98	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $22.39	Professional		$10.00	$15.14	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $50.12	Facility		$14.79	$18.62	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $52.48	Professional		$13.18	$19.95	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.23 / $16.98	Facility		$6.03	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $13.80	Professional		$7.08	$8.91	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.98	Professional		$6.61	$6.61	$16.98