Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $876.67 / $1,019.94	Facility		$687.60	$876.67	$1,019.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $816.47 / $1,019.94	Professional		$555.95	$816.47	$1,019.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Professional		$12.75	$12.75	$12.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $213.36 / $449.97	Facility		$86.61	$213.36	$449.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $82.24 / $95.22	Professional		$82.24	$82.24	$95.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $96.44 / $96.44	Facility		$96.44	$96.44	$96.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $1,045.06	Facility		$95.00	$95.00	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.81 / $1,296.18 / $3,391.44	Facility		$1,226.81	$1,296.18	$3,391.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $4,271.12 / $4,271.12	Professional		$2,421.00	$4,271.12	$4,271.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $200.41 / $1,019.94	Facility		$92.08	$200.41	$1,019.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $178.24 / $219.93	Professional		$87.93	$178.24	$219.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $198.40 / $1,019.94	Facility		$89.68	$198.40	$1,019.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $122.34	Professional		$24.99	$24.99	$122.34
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $77.62 / $199.28	Professional		$50.71	$77.62	$199.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.10 / $560.10 / $756.14	Professional		$560.10	$560.10	$756.14