Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $13,489.63	Facility		$954.99	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $1,148.15	Professional		$257.04	$467.74	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $9,332.54	Facility		$2,951.21	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $741.31	Professional		$380.19	$524.81	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $446.68 / $446.68	Facility		$79.43	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $891.25	Professional		$457.09	$602.56	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,511.89 / $8,912.51	Facility		$457.09	$2,511.89	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,023.29	Professional		$363.08	$575.44	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $660.69	Facility		$389.05	$478.63	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $891.25	Professional		$457.09	$616.60	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $758.58	Professional		$371.54	$501.19	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52