Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $7,413.10	Facility		$794.33	$3,235.94	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $724.44	Professional		$389.05	$467.74	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $660.69	Professional		$380.19	$478.63	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $28,840.32 / $28,840.32	Facility		$13,182.57	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $3,630.78	Professional		$2,951.21	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $912.01 / $4,897.79	Facility		$446.68	$912.01	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $741.31	Professional		$407.38	$575.44	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $933.25	Facility		$398.11	$537.03	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $794.33	Professional		$398.11	$537.03	$794.33
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 $316.23 / $426.58 / $691.83	Professional		$316.23	$426.58	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58