Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $123.03 / $251.19	Facility		$19.95	$123.03	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $15.49 / $30.20	Professional		$4.47	$15.49	$30.20
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 $38.90 / $38.90 / $47.86	Professional		$38.90	$38.90	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
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 $25.12 / $77.62 / $77.62	Professional		$25.12	$77.62	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $37.15	Facility		$19.95	$19.95	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $56.23	Professional		$36.31	$51.29	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $42.66	Facility		$19.95	$19.95	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $51.29	Professional		$16.98	$19.95	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54