Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $29.51 / $109.65	Facility		$11.48	$29.51	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.91	Professional		$10.00	$12.88	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $23.99	Professional		$7.41	$9.12	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $51.29 / $91.20	Facility		$19.50	$51.29	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $14.79	Professional		$5.01	$8.51	$14.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $30.20	Facility		$15.49	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $31.62 / $77.62	Facility		$13.80	$31.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $25.70	Professional		$8.13	$10.96	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $58.88	Facility		$11.75	$15.49	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $22.91	Professional		$8.91	$13.80	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $12.88	Professional		$11.48	$12.88	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $45.71	Facility		$12.30	$15.49	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $25.12	Professional		$8.71	$11.75	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.12 / $15.49	Facility		$5.50	$9.12	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $21.38	Professional		$6.46	$8.91	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $15.49	Professional		$6.03	$6.03	$15.49