Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,754.23 / $6,918.31	Facility		$616.60	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $660.69	Professional		$190.55	$309.03	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $223.87	Professional		$95.50	$123.03	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $4,897.79	Facility		$1,380.38	$2,454.71	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $426.58	Professional		$177.83	$275.42	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $588.84 / $588.84	Facility		$194.98	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $562.34	Professional		$229.09	$346.74	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	AS	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $457.09 / $4,466.84	Facility		$208.93	$457.09	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $676.08	Professional		$199.53	$338.84	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $501.19	Facility		$194.98	$316.23	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $562.34	Professional		$234.42	$363.08	$562.34
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 $194.98 / $295.12 / $446.68	Professional		$194.98	$295.12	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74