Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $141.25	Facility		$21.88	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.88	Professional		$16.98	$22.91	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $95.50 / $158.49	Facility		$36.31	$95.50	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $20.42	Professional		$9.33	$16.60	$20.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $30.20	Facility		$16.98	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $53.70 / $134.90	Facility		$24.55	$53.70	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $74.13	Professional		$18.62	$25.12	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.84 / $56.23	Facility		$21.88	$28.84	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $34.67	Professional		$16.98	$22.91	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $83.18	Facility		$21.88	$30.20	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $61.66	Professional		$19.05	$25.12	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.14 / $30.20	Facility		$9.33	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $20.89	Professional		$11.48	$13.18	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $30.20	Professional		$11.75	$11.75	$30.20