Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $38.84 / $107.73	Facility		$15.73	$38.84	$107.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $15.82 / $22.62	Professional		$11.65	$15.82	$22.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $12.49 / $14.46	Professional		$9.99	$12.49	$14.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $68.67 / $125.28	Facility		$25.80	$68.67	$125.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $18.52	Professional		$5.00	$11.03	$18.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $45.73 / $97.25	Facility		$14.54	$45.73	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.52 / $35.01	Professional		$11.03	$15.52	$35.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $98.85 / $100.00	Facility		$80.00	$98.85	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $24.46	Facility		$16.64	$20.81	$24.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $27.12	Professional		$18.73	$20.81	$27.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $57.47	Facility		$16.64	$20.81	$57.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.02 / $29.81	Professional		$11.03	$16.02	$29.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.91 / $14.70	Professional		$8.74	$11.91	$14.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.28 / $20.81	Professional		$8.11	$10.28	$20.81