Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.68 / $3,766.00 / $13,004.00	Facility		$1,174.68	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.09 / $1,280.76 / $1,783.94	Professional		$1,161.09	$1,280.76	$1,783.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,150.93 / $1,150.93 / $1,150.93	Professional		$1,150.93	$1,150.93	$1,150.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.93 / $2,117.33 / $10,594.24	Facility		$1,228.93	$2,117.33	$10,594.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.31 / $1,354.27 / $1,899.56	Professional		$1,101.31	$1,354.27	$1,899.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,070.64 / $1,070.64 / $1,070.64	Facility		$1,070.64	$1,070.64	$1,070.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.80 / $1,624.06 / $2,483.14	Professional		$1,230.80	$1,624.06	$2,483.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,053.60	Facility		$55.00	$55.00	$11,053.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,092.95 / $10,092.95 / $10,092.95	Professional		$10,092.95	$10,092.95	$10,092.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.77 / $1,595.81 / $2,688.63	Facility		$1,186.77	$1,595.81	$2,688.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.80 / $1,800.95 / $2,118.76	Professional		$1,294.80	$1,800.95	$2,118.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.77 / $1,608.70 / $3,250.20	Facility		$1,186.77	$1,608.70	$3,250.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.11 / $1,661.33 / $2,562.83	Professional		$1,240.11	$1,661.33	$2,562.83
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.55 / $1,378.88 / $2,154.50	Professional		$1,014.55	$1,378.88	$2,154.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,004.61 / $1,150.93 / $1,588.92	Professional		$1,004.61	$1,150.93	$1,588.92