Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $52.48	Facility		$21.88	$21.88	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.91	Professional		$19.05	$19.05	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $91.20	Facility		$19.50	$47.86	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $32.36	Facility		$21.88	$22.91	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $21.88	Professional		$19.05	$19.95	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $67.61	Facility		$21.38	$25.70	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $26.92	Professional		$21.88	$25.70	$26.92