Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.07 / $37.96	Professional		$18.23	$26.07	$37.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.13 / $48.59	Professional		$37.13	$37.13	$48.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $127.73 / $150.69	Facility		$40.40	$127.73	$150.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.63 / $2.63	Professional		$2.37	$2.63	$2.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $48.59	Facility		$39.40	$39.40	$48.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $42.77	Facility		$28.34	$28.34	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $32.20	Professional		$24.09	$24.09	$32.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $203.16 / $203.16	Facility		$122.99	$203.16	$203.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $32.19 / $48.59	Facility		$15.65	$32.19	$48.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $36.13 / $39.40	Professional		$15.44	$36.13	$39.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $28.34 / $48.59	Facility		$15.65	$28.34	$48.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $24.09 / $38.03	Professional		$15.65	$24.09	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $24.21 / $34.77	Professional		$16.88	$24.21	$34.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $32.54	Professional		$32.54	$32.54	$32.54