Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $389.05	Professional		$229.09	$302.00	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $575.44	Professional		$363.08	$457.09	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,137.96	Facility		$1,348.96	$1,905.46	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $36.31	Professional		$31.62	$36.31	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $676.08	Facility		$467.74	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $398.11	Professional		$257.04	$302.00	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,137.96 / $2,137.96	Facility		$724.44	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $208.93 / $645.65	Facility		$64.57	$208.93	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $426.58	Professional		$213.80	$389.05	$426.58
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 $208.93 / $389.05 / $676.08	Facility		$208.93	$389.05	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $389.05	Professional		$257.04	$257.04	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $199.53 / $316.23	Facility		$24.55	$199.53	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $467.74	Professional		$194.98	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08