Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.65 / $846.65 / $914.38	Facility		$846.65	$846.65	$914.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.65 / $914.38 / $1,693.30	Professional		$846.65	$914.38	$1,693.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,450.35 / $1,450.35 / $1,450.35	Professional		$1,450.35	$1,450.35	$1,450.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.31 / $1,151.44 / $1,151.44	Professional		$920.31	$1,151.44	$1,151.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,933.80 / $1,933.80 / $1,933.80	Facility		$1,933.80	$1,933.80	$1,933.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,226.77	Professional		$895.54	$895.54	$1,226.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,120.69 / $11,298.40 / $11,298.40	Facility		$10,120.69	$11,298.40	$11,298.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,840.43 / $12,840.43 / $14,503.50	Professional		$12,840.43	$12,840.43	$14,503.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $1,356.72 / $1,933.80	Facility		$622.83	$1,356.72	$1,933.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.85 / $1,762.82 / $2,117.56	Professional		$629.85	$1,762.82	$2,117.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $1,292.10 / $1,933.80	Facility		$622.83	$1,292.10	$1,933.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,307.80	Professional		$895.54	$895.54	$1,307.80
United Facility/Professional Professional Modifier Low / Median / High Price $803.96 / $1,189.32 / $1,453.59	Professional		$803.96	$1,189.32	$1,453.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,168.71 / $1,170.16 / $1,933.80	Professional		$1,168.71	$1,170.16	$1,933.80