Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.63 / $583.86 / $595.09	Facility		$572.63	$583.86	$595.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.95 / $595.09 / $942.46	Professional		$538.95	$595.09	$942.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $764.00 / $764.00	Professional		$764.00	$764.00	$764.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.25 / $610.25 / $610.25	Professional		$610.25	$610.25	$610.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $1,282.27 / $1,282.27	Facility		$1,282.27	$1,282.27	$1,282.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,885.29 / $6,900.90 / $6,900.90	Facility		$5,885.29	$6,900.90	$6,900.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,973.54 / $6,973.54 / $10,896.15	Professional		$6,973.54	$6,973.54	$10,896.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $887.20 / $1,282.27	Facility		$350.94	$887.20	$1,282.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $1,139.46 / $1,282.27	Professional		$350.94	$1,139.46	$1,282.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $856.78 / $1,282.27	Facility		$350.94	$856.78	$1,282.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $701.29	Professional		$497.03	$497.03	$701.29
United Facility/Professional Facility Modifier Low / Median / High Price $410.45 / $538.75 / $616.42	Facility		$410.45	$538.75	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $655.08 / $779.86	Professional		$453.00	$655.08	$779.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $663.62 / $1,282.27	Professional		$652.79	$663.62	$1,282.27