Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $226.28 / $337.73	Professional		$173.01	$226.28	$337.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $438.14 / $438.14 / $473.32	Professional		$438.14	$438.14	$473.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.56 / $1,322.36 / $1,525.12	Facility		$393.56	$1,322.36	$1,525.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $26.11 / $26.11	Professional		$23.50	$26.11	$26.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $361.31 / $361.31 / $473.32	Facility		$361.31	$361.31	$473.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $385.50	Facility		$243.17	$243.17	$385.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $319.16	Professional		$206.69	$243.17	$319.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $558.98 / $1,744.00 / $1,744.00	Facility		$558.98	$1,744.00	$1,744.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $329.82 / $473.32	Facility		$150.34	$329.82	$473.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $354.98 / $473.32	Professional		$47.34	$354.98	$473.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $275.13 / $473.32	Facility		$150.34	$275.13	$473.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $319.16	Professional		$206.69	$243.17	$319.16
United Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $227.05 / $334.08	Professional		$154.54	$227.05	$334.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $296.26 / $296.26	Professional		$293.32	$296.26	$296.26