Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.07 / $3,144.12 / $4,439.60	Professional		$2,225.07	$3,144.12	$4,439.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,144.69 / $2,144.69 / $2,144.69	Professional		$2,144.69	$2,144.69	$2,144.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.96 / $1,227.64 / $1,801.44	Facility		$482.96	$1,227.64	$1,801.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.41 / $367.12 / $367.12	Professional		$330.41	$367.12	$367.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,916.93 / $2,916.93 / $2,916.93	Facility		$2,916.93	$2,916.93	$2,916.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $3,305.35	Facility		$2,673.00	$2,673.00	$3,305.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $3,931.29	Professional		$2,272.05	$2,673.00	$3,931.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,920.35 / $4,920.35	Facility		$100.00	$4,920.35	$4,920.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,663.76 / $2,916.93 / $4,401.92	Facility		$2,663.76	$2,916.93	$4,401.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.54 / $1,979.60 / $5,736.40	Professional		$402.54	$1,979.60	$5,736.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,663.76 / $2,759.04 / $3,951.24	Facility		$2,663.76	$2,759.04	$3,951.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $3,387.98	Professional		$343.88	$2,673.00	$3,387.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.14 / $1,909.76 / $3,370.79	Professional		$1,399.14	$1,909.76	$3,370.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,617.98 / $2,617.98 / $4,655.25	Professional		$2,617.98	$2,617.98	$4,655.25