Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $43.65	Facility		$42.66	$42.66	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $58.88	Professional		$33.88	$47.86	$58.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	25	$48.98	$48.98	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $53.70	Professional		$35.48	$42.66	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	25	$43.65	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $39.81	Professional		$33.11	$36.31	$39.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Facility		$36.31	$36.31	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $91.20	Professional		$36.31	$41.69	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $77.62	Facility		$37.15	$45.71	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $58.88	Professional		$41.69	$50.12	$58.88
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	25	$48.98	$48.98	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $77.62	Facility		$37.15	$45.71	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $81.28	Professional		$38.02	$46.77	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $83.18	Professional		$41.69	$50.12	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67