Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.35 / $195.57 / $2,115.27	Facility		$152.35	$195.57	$2,115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $195.57 / $408.11	Professional		$152.35	$195.57	$408.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $164.30 / $164.30	Professional		$164.30	$164.30	$164.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $584.79 / $946.50	Facility		$242.00	$584.79	$946.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $176.18 / $245.50	Professional		$27.00	$176.18	$245.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $208.70 / $235.01	Facility		$205.07	$208.70	$235.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.11 / $956.46 / $1,571.27	Facility		$405.11	$956.46	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $257.58 / $467.66	Professional		$178.25	$257.58	$467.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $435.04 / $1,229.45 / $1,229.45	Facility		$435.04	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.61 / $1,503.61 / $1,881.23	Professional		$1,503.61	$1,503.61	$1,881.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $263.08 / $432.43	Facility		$205.69	$263.08	$432.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.38 / $356.52 / $529.96	Professional		$205.38	$356.52	$529.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.30 / $304.72 / $1,081.30	Facility		$211.30	$304.72	$1,081.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.95 / $257.58 / $483.19	Professional		$186.95	$257.58	$483.19
United Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $247.57 / $381.78	Professional		$191.21	$247.57	$381.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $205.38 / $293.45	Professional		$184.41	$205.38	$293.45