Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $38.10 / $105.69	Facility		$15.43	$38.10	$105.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.52 / $24.50	Professional		$12.25	$15.52	$24.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Professional		$12.25	$12.25	$12.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $67.39 / $122.32	Facility		$25.53	$67.39	$122.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.82 / $17.82	Professional		$5.00	$10.82	$17.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $23.53	Facility		$20.42	$20.42	$23.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $44.85 / $103.14	Facility		$14.27	$44.85	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $14.98 / $34.47	Professional		$10.82	$14.98	$34.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $137.27 / $140.97	Facility		$129.56	$137.27	$140.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $20.42 / $26.55	Facility		$16.34	$20.42	$26.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $20.42 / $25.28	Professional		$19.26	$20.42	$25.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $20.42 / $56.37	Facility		$16.34	$20.42	$56.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $15.72 / $29.49	Professional		$10.82	$15.72	$29.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $15.08 / $25.53	Facility		$7.15	$15.08	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $11.70 / $20.42	Professional		$8.58	$11.70	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.08 / $20.42	Professional		$7.96	$10.08	$20.42