Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.55 / $1,207.55 / $1,304.15	Facility		$1,207.55	$1,207.55	$1,304.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.56 / $1,304.15 / $2,415.10	Professional		$1,139.56	$1,304.15	$2,415.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,692.60 / $1,692.60 / $2,206.48	Professional		$1,692.60	$1,692.60	$2,206.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,642.27 / $1,642.27 / $1,642.27	Professional		$1,642.27	$1,642.27	$1,642.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,758.11 / $2,758.11 / $2,758.11	Facility		$2,758.11	$2,758.11	$2,758.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $1,486.28	Facility		$1,486.28	$1,486.28	$1,486.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,084.98 / $1,486.28	Professional		$1,084.98	$1,084.98	$1,486.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,494.15 / $15,064.29 / $15,064.29	Facility		$12,494.15	$15,064.29	$15,064.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,222.86 / $15,222.86 / $17,839.34	Professional		$15,222.86	$15,222.86	$17,839.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $1,922.13 / $2,758.11	Facility		$766.08	$1,922.13	$2,758.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $774.72 / $2,482.30 / $2,758.11	Professional		$774.72	$2,482.30	$2,758.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $1,842.89 / $2,758.11	Facility		$766.08	$1,842.89	$2,758.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,084.98 / $1,584.44	Professional		$1,084.98	$1,084.98	$1,584.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $988.88 / $1,462.87 / $1,828.59	Professional		$988.88	$1,462.87	$1,828.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,439.30 / $1,556.88 / $2,758.11	Professional		$1,439.30	$1,556.88	$2,758.11