Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.02 / $104.71	Facility		$15.14	$38.02	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $25.12	Professional		$12.02	$16.60	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $12.30	Professional		$10.23	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $69.18 / $123.03	Facility		$27.54	$69.18	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.22 / $19.50	Professional		$5.01	$11.22	$19.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $23.44	Facility		$20.42	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $107.15	Facility		$19.95	$44.67	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $34.67	Professional		$10.72	$14.45	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $38.02	Facility		$15.49	$20.42	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $26.92	Professional		$12.02	$18.20	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $16.98	Professional		$15.14	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.42 / $61.66	Facility		$16.22	$20.42	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $34.67	Professional		$11.48	$15.14	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.30 / $20.42	Facility		$7.41	$12.30	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $23.99	Professional		$8.51	$12.02	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $20.42	Professional		$7.94	$7.94	$20.42