Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $38.02 / $104.71	Facility		$14.79	$38.02	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $23.99	Professional		$12.02	$15.85	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $66.07 / $120.23	Facility		$25.12	$66.07	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.22 / $19.50	Professional		$5.01	$11.22	$19.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $107.15	Facility		$19.50	$43.65	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $30.90	Professional		$10.72	$14.45	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $234.42	Facility		$117.49	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $38.02	Facility		$15.14	$20.89	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $25.12	Professional		$12.02	$17.78	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $16.98	Professional		$15.14	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $58.88	Facility		$16.22	$21.88	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $33.88	Professional		$11.48	$14.79	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $20.42	Facility		$7.24	$12.02	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $17.38	Professional		$8.51	$11.75	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $20.42	Professional		$7.94	$7.94	$20.42