Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $75.86	Facility		$12.02	$30.20	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $18.20	Professional		$8.91	$12.02	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $51.29 / $87.10	Facility		$19.50	$51.29	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $15.85	Professional		$5.01	$8.71	$15.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.85 / $15.85	Facility		$13.80	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $27.54 / $69.18	Facility		$12.88	$27.54	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $23.99	Professional		$7.41	$8.71	$23.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $30.20	Facility		$11.75	$15.85	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $16.98	Professional		$8.91	$13.49	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $13.49	Professional		$12.02	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $44.67	Facility		$11.75	$15.85	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.91 / $23.99	Professional		$7.76	$8.91	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.32 / $15.85	Facility		$5.75	$8.32	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $14.45	Professional		$6.76	$7.08	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $15.85	Professional		$6.31	$6.31	$15.85