Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $100.00 / $234.42	Facility		$36.31	$100.00	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $42.66	Professional		$30.20	$32.36	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.14 / $28.84	Professional		$8.71	$15.14	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $102.33	Facility		$21.38	$53.70	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $93.33 / $229.09	Facility		$36.31	$93.33	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $51.29	Professional		$30.20	$34.67	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $107.15	Facility		$33.88	$40.74	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $40.74	Professional		$32.36	$38.90	$40.74