Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $144.54 / $288.40	Professional		$57.54	$144.54	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $131.83 / $204.17	Professional		$40.74	$131.83	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $467.74 / $851.14	Facility		$204.17	$467.74	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $109.65 / $204.17	Professional		$46.77	$109.65	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $128.82 / $131.83	Facility		$40.74	$128.82	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $323.59	Facility		$74.13	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $245.47	Professional		$64.57	$138.04	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,174.90	Professional		$1,000.00	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $169.82 / $3,019.95	Facility		$52.48	$169.82	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $134.90 / $251.19	Professional		$52.48	$134.90	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $138.04 / $234.42	Facility		$48.98	$138.04	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $251.19	Professional		$64.57	$138.04	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $416.87	Facility		$302.00	$316.23	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $208.93	Professional		$56.23	$117.49	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83