Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $3,019.95 / $10,715.19	Facility		$47.86	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $15.14 / $33.11	Professional		$5.62	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $22.39	Professional		$20.89	$22.39	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $194.98	Facility		$48.98	$91.20	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $17.38 / $20.42	Professional		$6.17	$17.38	$20.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $33.88 / $33.88	Facility		$6.61	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $199.53	Professional		$147.91	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $21.88 / $2,511.89	Facility		$6.92	$21.88	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.14 / $42.66	Professional		$6.03	$15.14	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $15.85 / $30.20	Facility		$6.61	$15.85	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $15.49 / $28.84	Professional		$6.76	$15.49	$28.84