Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $292.62 / $423.58	Professional		$223.56	$292.62	$423.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.76 / $432.09 / $659.54	Professional		$366.76	$432.09	$659.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $1,842.62 / $2,125.16	Facility		$548.40	$1,842.62	$2,125.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $36.39 / $36.39	Professional		$32.75	$36.39	$36.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $451.19 / $577.52 / $659.54	Facility		$451.19	$577.52	$659.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $498.14	Facility		$299.44	$299.44	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $400.87	Professional		$254.52	$299.44	$400.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $688.25 / $2,147.32 / $2,147.32	Facility		$688.25	$2,147.32	$2,147.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $410.78 / $659.54	Facility		$209.50	$410.78	$659.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $455.11 / $659.54	Professional		$60.69	$455.11	$659.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $328.62 / $659.54	Facility		$209.50	$328.62	$659.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $393.01	Professional		$254.52	$299.44	$393.01
United Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $300.37 / $465.55	Professional		$196.07	$300.37	$465.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.13 / $363.54 / $363.54	Professional		$357.13	$363.54	$363.54