Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.29 / $267.29 / $288.67	Facility		$267.29	$267.29	$288.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $288.67 / $534.57	Professional		$249.04	$288.67	$534.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $363.74 / $457.88	Professional		$363.74	$363.74	$457.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.54 / $363.51 / $363.51	Professional		$290.54	$363.51	$363.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $406.90 / $406.90 / $610.50	Facility		$406.90	$406.90	$610.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $338.50	Professional		$247.11	$247.11	$338.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,725.44 / $2,790.84 / $2,790.84	Facility		$2,725.44	$2,790.84	$2,790.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,474.60 / $3,474.60 / $3,924.60	Professional		$3,474.60	$3,474.60	$3,924.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $425.45 / $610.50	Facility		$168.53	$425.45	$610.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $523.28 / $610.50	Professional		$170.44	$523.28	$610.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $407.91 / $610.50	Facility		$168.53	$407.91	$610.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $360.86	Professional		$247.11	$247.11	$360.86
United Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $321.83 / $400.29	Professional		$217.55	$321.83	$400.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $317.41 / $610.50	Professional		$316.64	$317.41	$610.50