Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.91 / $331.13	Facility		$6.76	$8.91	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $10.96	Professional		$6.03	$8.91	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $102.33	Professional		$100.00	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.13 / $22.91	Facility		$7.76	$14.13	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $10.96	Professional		$6.03	$8.91	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $30.20	Professional		$18.20	$18.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.45 / $23.44	Facility		$8.13	$14.45	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $14.13	Professional		$6.46	$7.76	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.41	Professional		$5.01	$5.01	$7.41