Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $354.81	Professional		$117.49	$177.83	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $3,981.07	Facility		$891.25	$1,819.70	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $295.12	Professional		$123.03	$186.21	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Facility		$109.65	$109.65	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $338.84	Professional		$144.54	$218.78	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $239.88 / $3,715.35	Facility		$125.89	$239.88	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $380.19	Professional		$120.23	$194.98	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $323.59	Facility		$117.49	$199.53	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $354.81	Professional		$144.54	$223.87	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $275.42	Professional		$120.23	$181.97	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53