Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Facility		$588.84	$588.84	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $977.24	Professional		$549.54	$645.65	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,348.96	Facility		$79.43	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $10,964.78	Professional		$7,079.46	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,737.80	Facility		$562.34	$1,047.13	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,380.38	Professional		$562.34	$691.83	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Professional		$724.44	$724.44	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,778.28	Facility		$562.34	$1,000.00	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $1,380.38	Facility		$380.19	$602.56	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $870.96	Professional		$501.19	$724.44	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96