Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $27.40 / $39.36	Professional		$20.88	$27.40	$39.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Professional		$49.68	$49.68	$49.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $138.84 / $160.12	Facility		$41.32	$138.84	$160.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.10 / $3.10	Professional		$2.79	$3.10	$3.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $49.68	Facility		$45.25	$45.25	$49.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $48.65	Facility		$31.91	$31.91	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $41.89	Professional		$27.12	$31.91	$41.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $228.57 / $228.57	Facility		$95.10	$228.57	$228.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $35.57 / $49.68	Facility		$16.01	$35.57	$49.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $38.46 / $48.94	Professional		$4.16	$38.46	$48.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $31.91 / $49.68	Facility		$16.01	$31.91	$49.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $38.90	Professional		$27.12	$31.91	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $26.36 / $35.57	Professional		$18.98	$26.36	$35.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65