Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.08 / $3,667.00 / $10,893.00	Facility		$172.08	$3,667.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $277.31	Professional		$47.86	$47.86	$277.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,564.00 / $14,543.00	Facility		$1,845.00	$9,564.00	$14,543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $77.76 / $77.76	Professional		$77.76	$77.76	$77.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,188.49 / $6,188.49 / $6,188.49	Facility		$6,188.49	$6,188.49	$6,188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $6,774.00	Facility		$100.00	$100.00	$6,774.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.62 / $2,034.62 / $2,090.36	Professional		$2,034.62	$2,034.62	$2,090.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $48.82 / $275.63	Facility		$47.86	$48.82	$275.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $135.85	Facility		$47.86	$47.86	$135.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $30.43	Professional		$22.54	$22.54	$30.43