Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.63 / $19.59	Facility		$17.57	$17.63	$19.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $17.67 / $32.72	Professional		$16.19	$17.67	$32.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $29.70 / $29.70	Professional		$29.70	$29.70	$29.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $19.20	Professional		$17.32	$17.32	$19.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Facility		$39.60	$39.60	$39.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.22	Professional		$16.22	$16.22	$22.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.96 / $246.68 / $246.68	Facility		$215.96	$246.68	$246.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $214.83 / $223.24 / $297.00	Professional		$214.83	$223.24	$297.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $31.68 / $39.60	Facility		$17.57	$31.68	$39.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $37.61 / $45.54	Professional		$29.43	$37.61	$45.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $27.44 / $39.60	Facility		$17.57	$27.44	$39.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $41.38	Professional		$16.22	$16.22	$41.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $25.36 / $29.68	Professional		$16.14	$25.36	$29.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.05 / $39.60	Professional		$25.00	$30.05	$39.60