Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.75 / $373.75 / $403.64	Facility		$373.75	$373.75	$403.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $397.35 / $747.49	Professional		$343.85	$397.35	$747.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.25 / $640.25 / $640.25	Professional		$640.25	$640.25	$640.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.26 / $508.29 / $508.29	Professional		$406.26	$508.29	$508.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $853.66 / $853.66 / $853.66	Facility		$853.66	$853.66	$853.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,315.25 / $3,432.45 / $3,432.45	Facility		$1,315.25	$3,432.45	$3,432.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,241.91 / $4,241.91 / $5,222.70	Professional		$4,241.91	$4,241.91	$5,222.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $594.91 / $853.66	Facility		$211.80	$594.91	$853.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $721.89 / $853.66	Professional		$214.19	$721.89	$853.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $570.38 / $853.66	Facility		$211.80	$570.38	$853.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $438.06	Professional		$299.97	$299.97	$438.06
United Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $404.45 / $500.87	Professional		$273.39	$404.45	$500.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $401.80 / $853.66	Professional		$398.00	$401.80	$853.66