Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Facility		$794.33	$794.33	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Professional		$9,120.11	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,238.72	Facility		$776.25	$1,412.54	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,621.81	Professional		$676.08	$870.96	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Professional		$1,023.29	$1,023.29	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,290.87	Facility		$776.25	$1,380.38	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,698.24	Facility		$549.54	$1,023.29	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,122.02	Professional		$602.56	$912.01	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09