Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.95	Facility		$12.00	$12.00	$12.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.38 / $23.99	Professional		$12.00	$13.38	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $20.55 / $20.55	Professional		$16.32	$20.55	$20.55
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 $13.04 / $13.04 / $16.30	Professional		$13.04	$13.04	$16.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $71.97 / $71.97	Facility		$27.40	$71.97	$71.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $18.44	Professional		$13.46	$13.46	$18.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $158.75 / $158.75	Facility		$140.91	$158.75	$158.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $160.41 / $234.38	Professional		$160.41	$160.41	$234.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $19.23 / $27.40	Facility		$8.55	$19.23	$27.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $24.66 / $27.49	Professional		$8.66	$24.66	$27.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $18.44 / $27.40	Facility		$8.55	$18.44	$27.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $19.66	Professional		$13.46	$13.46	$19.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.34 / $19.97	Professional		$11.05	$16.34	$19.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $19.76 / $27.40	Professional		$16.09	$19.76	$27.40