Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $302.00	Professional		$173.78	$234.42	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Professional		$331.13	$331.13	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,513.56	Facility		$977.24	$1,380.38	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $26.30	Professional		$22.39	$26.30	$26.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $478.63	Facility		$371.54	$371.54	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $316.23	Facility		$245.47	$245.47	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $316.23	Professional		$208.93	$245.47	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,737.80 / $1,737.80	Facility		$575.44	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $478.63	Facility		$151.36	$338.84	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $338.84	Professional		$151.36	$302.00	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $478.63	Facility		$151.36	$302.00	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $316.23	Professional		$208.93	$208.93	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $151.36 / $263.03	Facility		$17.78	$151.36	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $331.13	Professional		$154.88	$218.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12