Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $354.81	Professional		$199.53	$234.42	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $309.03	Professional		$181.97	$229.09	$309.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $457.09	Professional		$208.93	$281.84	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,258.93	Facility		$54.95	$56.23	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,737.80	Professional		$1,412.54	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,000.00 / $6,918.31	Facility		$223.87	$1,000.00	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $338.84	Professional		$199.53	$269.15	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $489.78	Facility		$194.98	$257.04	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $446.68	Professional		$199.53	$275.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $363.08	Professional		$173.78	$234.42	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $204.17	Professional		$186.21	$186.21	$204.17