Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $645.65	Facility		$446.68	$537.03	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $645.65 / $851.14	Professional		$93.33	$645.65	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $1,023.29	Professional		$70.79	$74.13	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $5,495.41	Facility		$1,737.80	$2,754.23	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $660.69 / $776.25	Professional		$64.57	$660.69	$776.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,819.70 / $1,819.70	Facility		$83.18	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $7,762.47	Professional		$5,011.87	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $724.44 / $1,288.25	Facility		$104.71	$724.44	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $645.65 / $1,819.70	Professional		$112.20	$645.65	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $645.65 / $1,318.26	Facility		$87.10	$645.65	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $4,265.80	Facility		$3,162.28	$3,235.94	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,230.27	Professional		$616.60	$831.76	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00