Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $79.43	Facility		$10.96	$28.84	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $19.05	Professional		$9.33	$12.88	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $21.88	Professional		$13.18	$13.18	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $93.33	Facility		$20.89	$52.48	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $9.55	Professional		$5.01	$8.51	$9.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $31.62 / $72.44	Facility		$15.14	$31.62	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $41.69	Professional		$8.13	$11.48	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $28.84	Facility		$11.75	$15.49	$28.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $21.38	Professional		$8.91	$13.80	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $32.36 / $33.11	Professional		$11.75	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $45.71	Facility		$12.30	$15.49	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.84	Professional		$8.91	$12.02	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.33 / $15.49	Facility		$5.62	$9.33	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $15.49	Professional		$9.33	$12.59	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03