Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $323.59	Professional		$173.78	$251.19	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $19,952.62 / $40,738.03	Facility		$11,481.54	$19,952.62	$40,738.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $64,565.42	Facility		$64,565.42	$64,565.42	$64,565.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,187.76	Professional		$1,905.46	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $407.38 / $3,890.45	Facility		$134.90	$407.38	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $363.08	Professional		$186.21	$257.04	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $537.03	Facility		$199.53	$309.03	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $457.09	Professional		$218.78	$288.40	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19