Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $65.81 / $125.48	Facility		$14.93	$65.81	$125.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $17.21 / $23.69	Professional		$11.84	$17.21	$23.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.84 / $13.71	Professional		$9.48	$11.84	$13.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $65.14 / $115.48	Facility		$24.48	$65.14	$115.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.46 / $17.57	Professional		$5.00	$10.46	$17.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $19.73	Facility		$17.59	$17.59	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $43.37 / $99.16	Facility		$13.79	$43.37	$99.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.44 / $33.36	Professional		$10.46	$14.44	$33.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $94.35 / $100.00	Facility		$69.40	$94.35	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $19.73 / $29.43	Facility		$15.79	$19.73	$29.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.73 / $25.73	Professional		$18.64	$19.73	$25.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $19.73 / $49.21	Facility		$15.79	$19.73	$49.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $15.18 / $28.29	Professional		$10.46	$15.18	$28.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.59 / $19.95	Professional		$8.28	$11.59	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.75 / $19.73	Professional		$7.70	$9.75	$19.73