Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $42.51 / $43.65	Facility		$42.51	$42.51	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $49.47 / $59.93	Professional		$39.92	$49.47	$59.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.56 / $48.56 / $48.56	Professional	25	$48.56	$48.56	$48.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $53.57	Professional		$53.57	$53.57	$53.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $35.34 / $42.00	Professional		$31.31	$35.34	$42.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $45.44	Facility		$36.65	$36.65	$45.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $41.47 / $75.33	Professional		$36.11	$41.47	$75.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $223.54 / $223.54	Facility		$214.62	$223.54	$223.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $44.64 / $77.12	Facility		$36.90	$44.64	$77.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $47.19 / $54.59	Professional		$47.19	$47.19	$54.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $43.83 / $71.56	Facility		$36.90	$43.83	$71.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $43.35 / $71.56	Professional		$38.14	$43.35	$71.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $50.02 / $79.80	Professional		$40.85	$50.02	$79.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $37.27 / $44.64	Professional		$37.27	$37.27	$44.64