Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.90 / $107.15	Facility		$15.14	$38.90	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $23.99	Professional		$12.88	$16.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $14.45	Professional		$12.59	$12.59	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $70.79 / $125.89	Facility		$28.18	$70.79	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.48 / $20.42	Professional		$5.01	$11.48	$20.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $42.66 / $104.71	Facility		$20.42	$42.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $34.67	Professional		$10.96	$15.14	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $100.00	Facility		$97.72	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $38.90	Facility		$15.85	$20.89	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $25.70	Professional		$12.02	$18.62	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $33.11	Professional		$15.49	$17.38	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $60.26	Facility		$16.60	$20.89	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $34.67	Professional		$11.75	$15.49	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.59 / $20.89	Facility		$7.41	$12.59	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $16.98	Professional		$8.71	$12.30	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $20.89	Professional		$8.13	$8.13	$20.89