Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $284.50 / $402.11	Professional		$225.05	$284.50	$402.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $484.52 / $484.52	Professional		$484.52	$484.52	$484.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.82 / $1,432.44 / $2,009.80	Facility		$538.82	$1,432.44	$2,009.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Professional		$36.79	$36.79	$36.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.39 / $436.39 / $648.02	Facility		$436.39	$436.39	$648.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $506.62	Facility		$310.87	$310.87	$506.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $416.18	Professional		$264.24	$310.87	$416.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.80 / $2,228.01 / $2,228.01	Facility		$1,002.80	$2,228.01	$2,228.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $410.16 / $648.02	Facility		$208.71	$410.16	$648.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $370.93 / $582.52	Professional		$40.15	$370.93	$582.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $359.47 / $648.02	Facility		$208.71	$359.47	$648.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $410.23	Professional		$264.24	$310.87	$410.23
United Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $300.70 / $463.80	Professional		$192.13	$300.70	$463.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $359.76 / $359.76	Professional		$359.76	$359.76	$359.76