Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $21.24 / $28.21	Professional		$15.95	$21.24	$28.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $42.51 / $42.51	Professional		$32.46	$42.51	$42.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.36 / $2.36	Professional		$2.12	$2.36	$2.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $42.51	Facility		$34.57	$34.57	$42.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $35.60	Facility		$23.28	$23.28	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $30.56	Professional		$19.79	$23.28	$30.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $167.12 / $167.12	Facility		$80.00	$167.12	$167.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $26.01 / $42.51	Facility		$11.63	$26.01	$42.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $31.80 / $36.13	Professional		$3.18	$31.80	$36.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.28 / $42.51	Facility		$11.63	$23.28	$42.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $30.56	Professional		$19.79	$23.28	$30.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $19.39 / $25.85	Professional		$14.39	$19.39	$25.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $28.33 / $28.33	Professional		$27.50	$28.33	$28.33