Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $7,079.46	Facility		$707.95	$3,019.95	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $831.76	Professional		$281.84	$446.68	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $7,244.36	Facility		$2,041.74	$3,715.35	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $724.44	Professional		$309.03	$478.63	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Facility		$309.03	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $794.33	Professional		$354.81	$524.81	$794.33
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 $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $3,715.35	Facility		$316.23	$575.44	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,047.13	Professional		$295.12	$524.81	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $758.58	Facility		$302.00	$478.63	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $851.14	Professional		$354.81	$537.03	$851.14
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 $275.42 / $426.58 / $660.69	Professional		$275.42	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54