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 $151.36 / $177.83 / $251.19	Professional		$151.36	$177.83	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $239.88	Professional		$141.25	$169.82	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $354.81	Professional		$162.18	$218.78	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $977.24	Facility		$54.95	$56.23	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,348.96	Professional		$1,122.02	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,290.87 / $8,511.38	Facility		$199.53	$2,290.87	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $251.19	Professional		$154.88	$194.98	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $123.03	Professional		$19.95	$32.36	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $380.19	Facility		$144.54	$190.55	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $346.74	Professional		$154.88	$213.80	$346.74
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 $134.90 / $181.97 / $281.84	Professional		$134.90	$181.97	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91