Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.15 / $104.71	Facility		$15.14	$37.15	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $30.90	Professional		$12.02	$16.22	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.80	Professional		$8.51	$8.51	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $64.57 / $114.82	Facility		$28.18	$64.57	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $27.54	Professional		$5.01	$10.96	$27.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $79.43	Facility		$19.95	$19.95	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $107.15	Facility		$22.39	$44.67	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $44.67	Professional		$11.48	$15.49	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $57.54	Facility		$15.14	$23.99	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $25.12	Professional		$7.94	$15.85	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.42	Professional		$16.98	$16.98	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $66.07	Facility		$15.85	$31.62	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $41.69	Professional		$11.48	$18.62	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.51 / $19.95	Facility		$7.24	$8.51	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $16.98	Professional		$8.51	$11.75	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98