Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,884.03 / $6,918.31	Facility		$691.83	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $478.63	Professional		$151.36	$229.09	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $173.78	Professional		$154.88	$169.82	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $7,079.46	Facility		$1,949.84	$3,630.78	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $389.05	Professional		$165.96	$239.88	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,187.76 / $2,187.76	Facility		$169.82	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $407.38	Professional		$190.55	$269.15	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$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 $158.49 / $269.15 / $524.81	Professional		$158.49	$269.15	$524.81
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 / $245.47 / $380.19	Facility		$165.96	$245.47	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $436.52	Professional		$194.98	$275.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $331.13	Professional		$154.88	$218.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42