Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.21 / $505.49 / $732.60	Professional		$387.21	$505.49	$732.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $655.55 / $655.55 / $655.55	Professional		$655.55	$655.55	$655.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $56.88 / $56.88	Professional		$51.19	$56.88	$56.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $782.20 / $782.20 / $782.20	Facility		$782.20	$782.20	$782.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $844.60	Facility		$407.96	$407.96	$844.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $586.66	Professional		$346.77	$407.96	$586.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.77 / $2,957.66 / $3,065.51	Facility		$1,073.77	$2,957.66	$3,065.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $434.16 / $891.17	Facility		$103.12	$434.16	$891.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $103.12 / $936.68	Professional		$71.95	$103.12	$936.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $407.96 / $781.89	Facility		$103.12	$407.96	$781.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $420.20	Professional		$64.33	$407.96	$420.20
United Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $487.61 / $728.08	Professional		$301.52	$487.61	$728.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.17 / $649.41 / $649.41	Professional		$524.17	$649.41	$649.41