Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,951.21 / $8,317.64	Facility		$660.69	$2,951.21	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $870.96	Professional		$158.49	$245.47	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $309.03	Professional		$131.83	$173.78	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,365.16	Facility		$1,288.25	$2,137.96	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $389.05	Professional		$169.82	$239.88	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,258.93 / $1,258.93	Facility		$165.96	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $446.68	Professional		$194.98	$288.40	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $3,715.35	Facility		$173.78	$302.00	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $549.54	Professional		$165.96	$275.42	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $389.05	Facility		$165.96	$251.19	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $457.09	Professional		$199.53	$302.00	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03