Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.63 / $1,118.63 / $1,208.11	Facility		$1,118.63	$1,118.63	$1,208.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.85 / $1,208.11 / $2,237.25	Professional		$1,033.85	$1,208.11	$2,237.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,522.30 / $1,522.30 / $1,522.30	Professional		$1,522.30	$1,522.30	$1,522.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.95 / $1,369.20 / $1,521.33	Professional		$1,215.95	$1,369.20	$1,521.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,555.00 / $2,555.00 / $2,555.00	Facility		$2,555.00	$2,555.00	$2,555.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,599.98	Professional		$1,167.99	$1,167.99	$1,599.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,580.89 / $13,749.35 / $13,749.35	Facility		$11,580.89	$13,749.35	$13,749.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,894.08 / $13,894.08 / $16,292.93	Professional		$13,894.08	$13,894.08	$16,292.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $1,792.54 / $2,555.00	Facility		$699.67	$1,792.54	$2,555.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.57 / $2,171.75 / $2,655.59	Professional		$707.57	$2,171.75	$2,655.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $1,707.18 / $2,555.00	Facility		$699.67	$1,707.18	$2,555.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,705.66	Professional		$1,167.99	$1,167.99	$1,705.66
United Facility/Professional Professional Modifier Low / Median / High Price $903.15 / $1,336.06 / $1,632.93	Professional		$903.15	$1,336.06	$1,632.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,314.53 / $1,317.91 / $2,555.00	Professional		$1,314.53	$1,317.91	$2,555.00