Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $697.76 / $983.29	Professional		$521.14	$697.76	$983.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $989.40 / $996.62	Professional		$989.40	$989.40	$996.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,095.72 / $3,178.30 / $4,087.04	Facility		$1,095.72	$3,178.30	$4,087.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $83.32 / $83.32	Professional		$62.99	$83.32	$83.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $991.54 / $991.54 / $991.54	Facility		$991.54	$991.54	$991.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $897.30	Professional		$569.71	$670.25	$897.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.75 / $4,806.31 / $4,806.31	Facility		$1,567.75	$4,806.31	$4,806.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.66 / $879.08 / $1,030.43	Facility		$775.66	$879.08	$1,030.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $912.22 / $1,302.84	Professional		$91.22	$912.22	$1,302.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $879.08 / $991.54	Facility		$670.25	$879.08	$991.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $880.23	Professional		$569.71	$670.25	$880.23
United Facility/Professional Professional Modifier Low / Median / High Price $459.56 / $635.19 / $1,074.03	Professional		$459.56	$635.19	$1,074.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.58 / $803.58 / $803.58	Professional		$803.58	$803.58	$803.58