Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Facility		$162.18	$162.18	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $309.03	Professional		$147.91	$177.83	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $275.42	Professional		$239.88	$251.19	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $371.54	Facility		$79.43	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $457.09	Facility		$158.49	$295.12	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $407.38	Professional		$151.36	$190.55	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Professional		$245.47	$245.47	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $467.74	Facility		$162.18	$275.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $371.54	Facility		$120.23	$223.87	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $245.47	Professional		$131.83	$194.98	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54