Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $969.00 / $7,542.00	Facility		$20.16	$969.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $15.30 / $21.60	Professional		$10.80	$15.30	$21.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Professional		$8.64	$8.64	$8.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $59.40 / $108.36	Facility		$22.32	$59.40	$108.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.53 / $16.02	Professional		$5.00	$9.53	$16.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $18.00	Facility		$15.32	$15.32	$18.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $39.54 / $91.24	Facility		$12.58	$39.54	$91.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $13.18 / $30.09	Professional		$9.53	$13.18	$30.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $86.10 / $86.10	Facility		$55.00	$86.10	$86.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $18.00 / $23.40	Facility		$14.40	$18.00	$23.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.00 / $23.46	Professional		$17.12	$18.00	$23.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $18.00 / $44.86	Facility		$14.40	$18.00	$44.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $13.84 / $25.78	Professional		$9.53	$13.84	$25.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $12.35 / $13.58	Facility		$6.30	$12.35	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.56 / $15.75	Professional		$7.56	$10.56	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.89 / $18.00	Professional		$7.02	$8.89	$18.00