Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Facility		$177.83	$177.83	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $338.84	Professional		$169.82	$194.98	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $407.38 / $407.38	Facility		$79.43	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $549.54	Facility		$177.83	$331.13	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $512.86	Professional		$177.83	$213.80	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $575.44	Facility		$177.83	$316.23	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $467.74	Facility		$125.89	$199.53	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $288.40	Professional		$165.96	$239.88	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38