Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $302.00	Professional		$151.36	$229.09	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $389.05	Professional		$295.12	$316.23	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,288.25	Facility		$851.14	$1,174.90	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $23.44	Professional		$20.42	$23.44	$23.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $407.38	Facility		$281.84	$281.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $331.13	Professional		$229.09	$269.15	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $1,819.70	Facility		$602.56	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $281.84 / $407.38	Facility		$38.90	$281.84	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $371.54	Professional		$190.55	$302.00	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $407.38	Facility		$269.15	$281.84	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $134.90 / $245.47	Facility		$16.60	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $295.12	Professional		$147.91	$194.98	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12