Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.45 / $598.97 / $610.49	Facility		$587.45	$598.97	$610.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $610.49 / $1,151.86	Professional		$575.12	$610.49	$1,151.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.98 / $933.98 / $933.98	Professional		$933.98	$933.98	$933.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.04 / $783.27 / $783.27	Professional		$626.04	$783.27	$783.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,315.46 / $1,315.46 / $1,315.46	Facility		$1,315.46	$1,315.46	$1,315.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $830.86	Professional		$606.53	$606.53	$830.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,093.45 / $7,008.49 / $8,331.26	Facility		$4,093.45	$7,008.49	$8,331.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,940.74 / $13,251.33 / $13,251.33	Professional		$12,940.74	$13,251.33	$13,251.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $910.16 / $1,315.46	Facility		$423.68	$910.16	$1,315.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.68 / $1,199.16 / $1,753.95	Professional		$423.68	$1,199.16	$1,753.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $878.96 / $1,315.46	Facility		$423.68	$878.96	$1,315.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $885.74	Professional		$606.53	$606.53	$885.74
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $546.89 / $780.63 / $941.50	Professional		$546.89	$780.63	$941.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.10 / $792.54 / $1,315.46	Professional		$788.10	$792.54	$1,315.46